KIERSTYN BRIANNE GREEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004643

License Status

EXPIRED

Business

First Name

KIERSTYN

Middle

BRIANNE

Last Name

GREEN

Business Name

KIERSTYN BRIANNE GREEN

Original Issue Date

08/14/2017

Effective Date

08/14/2017

Expiration Date

08/14/2018

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

12/04/2018