MAKENNA RAE GREEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005419

License Status

EXPIRED

Business

First Name

MAKENNA

Middle

RAE

Last Name

GREEN

Business Name

MAKENNA RAE GREEN

Original Issue Date

06/13/2019

Effective Date

06/13/2019

Expiration Date

12/13/2020

City

SAINT CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

03/11/2021