KRISTIN A POLONUS Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000560

License Status

INACTIVE

Business

First Name

KRISTIN A

Last Name

POLONUS

Business Name

KRISTIN A POLONUS

Original Issue Date

02/26/1992

Effective Date

11/17/2003

Expiration Date

10/31/2003

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005