KIERSTIN MALLORY BARTH Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005826

License Status

EXPIRED

Business

First Name

KIERSTIN

Middle

MALLORY

Last Name

BARTH

Business Name

KIERSTIN MALLORY BARTH

Original Issue Date

06/02/2020

Effective Date

06/02/2020

Expiration Date

12/02/2021

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/18/2022