ANN CLARE KIELBASA Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005374

License Status

EXPIRED

Business

First Name

ANN

Middle

CLARE

Last Name

KIELBASA

Business Name

ANN CLARE KIELBASA

Original Issue Date

06/12/2019

Effective Date

06/12/2019

Expiration Date

12/12/2020

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/11/2021