THERESE M KISTENFEGER Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001388

License Status

ACTIVE

Business

First Name

THERESE

Middle

Last Name

KISTENFEGER

Business Name

THERESE M KISTENFEGER

Original Issue Date

06/20/2011

Effective Date

08/08/2025

Expiration Date

10/31/2027

City

DALTON CITY

State

Zip

61925

County

MACON

Ever Disciplined

LastModifiedDate

08/08/2025