KILEY MCKENZIE MARTENSEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004514

License Status

EXPIRED

Business

First Name

KILEY

Middle

MCKENZIE

Last Name

MARTENSEN

Business Name

KILEY MCKENZIE MARTENSEN

Original Issue Date

07/24/2017

Effective Date

07/24/2017

Expiration Date

07/24/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/04/2018