KRISTIE NICOLE BROCKWAY Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005086

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

NICOLE

Last Name

BROCKWAY

Business Name

KRISTIE NICOLE BROCKWAY

Original Issue Date

09/04/2018

Effective Date

09/04/2018

Expiration Date

03/03/2020

City

ELGIN

State

Zip

60123

Ever Disciplined

LastModifiedDate

11/19/2020