KELLI SUSANNE STEWART Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004752

License Status

EXPIRED

Business

First Name

KELLI

Middle

SUSANNE

Last Name

STEWART

Business Name

KELLI SUSANNE STEWART

Original Issue Date

12/29/2017

Effective Date

12/29/2017

Expiration Date

12/29/2018

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

02/21/2019