BENJAMIN JOSIAH KITTLE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006254

License Status

EXPIRED

Business

First Name

BENJAMIN

Middle

JOSIAH

Last Name

KITTLE

Business Name

BENJAMIN JOSIAH KITTLE

Original Issue Date

05/28/2021

Effective Date

05/28/2021

Expiration Date

11/28/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/15/2023