KIM L TILLERY Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000642

License Status

NOT RENEWED

Business

First Name

KIM L

Last Name

TILLERY

Business Name

KIM L TILLERY

Original Issue Date

12/22/1993

Expiration Date

10/31/1995

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/28/2005