MARY CHRISTINE KUBALANZA Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002571

License Status

CANCELLED

Business

First Name

MARY

Middle

CHRISTINE

Last Name

KUBALANZA

Business Name

MARY CHRISTINE KUBALANZA

Original Issue Date

01/23/2013

Effective Date

11/19/2013

Expiration Date

11/19/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/13/2015