KRISTIE NICOLE BROCKWAY Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146014876

License Status

ACTIVE

Business

First Name

KRISTIE

Middle

NICOLE

Last Name

BROCKWAY

Business Name

KRISTIE NICOLE BROCKWAY

Original Issue Date

06/17/2019

Effective Date

08/08/2025

Expiration Date

10/31/2027

City

ELGIN

State

Zip

60123

Ever Disciplined

LastModifiedDate

08/08/2025