KIERSTYN BRIANNE GREEN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146014216

License Status

ACTIVE

Business

First Name

KIERSTYN

Middle

BRIANNE

Last Name

GREEN

Business Name

KIERSTYN BRIANNE GREEN

Original Issue Date

05/17/2018

Effective Date

10/31/2025

Expiration Date

10/31/2027

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/31/2025