KRISTINA MARIE WEST Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001917

License Status

EXPIRED

Business

First Name

KRISTINA

Middle

MARIE

Last Name

WEST

Business Name

KRISTINA MARIE WEST

Original Issue Date

06/22/2011

Effective Date

06/22/2011

Expiration Date

06/22/2012

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/29/2012