KAYLEE JO PETERSEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006264

License Status

EXPIRED

Business

First Name

KAYLEE

Middle

Last Name

PETERSEN

Business Name

KAYLEE JO PETERSEN

Original Issue Date

06/02/2021

Effective Date

06/02/2021

Expiration Date

06/02/2022

City

COLFAX

State

Zip

61728

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/15/2023