KRISTEN FAITH FAHNSTROM Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001975

License Status

EXPIRED

Business

First Name

KRISTEN

Middle

FAITH

Last Name

FAHNSTROM

Business Name

KRISTEN FAITH FAHNSTROM

Original Issue Date

07/19/2011

Effective Date

07/19/2011

Expiration Date

07/19/2012

City

BOLINGBROOK

State

Zip

60440

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/29/2012