JENNIFER KELLY POLSTON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000765

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

KELLY

Last Name

POLSTON

Business Name

JENNIFER KELLY POLSTON

Original Issue Date

06/25/1996

Effective Date

10/27/2011

Expiration Date

10/31/2013

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

12/10/2013