KIRSTIE LAUREL FENCIK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003265

License Status

NOT RENEWED

Business

First Name

KIRSTIE

Middle

LAUREL

Last Name

FENCIK

Business Name

KIRSTIE LAUREL FENCIK

Original Issue Date

08/28/2014

Effective Date

08/28/2014

Expiration Date

08/28/2015

City

CHAMBERSBURG

State

Zip

62323

County

PIKE

Ever Disciplined

LastModifiedDate

01/07/2016