KELLEY LYNN STORK Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003191

License Status

EXPIRED

Business

First Name

KELLEY

Middle

LYNN

Last Name

STORK

Business Name

KELLEY LYNN STORK

Original Issue Date

08/15/2014

Effective Date

03/30/2015

Expiration Date

03/30/2016

City

HOPEWELL

State

Zip

61565

County

MARSHALL

Ever Disciplined

LastModifiedDate

06/10/2016