KYLIE ELLEN FARISON Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006571

License Status

EXPIRED

Business

First Name

KYLIE

Middle

ELLEN

Last Name

FARISON

Business Name

KYLIE ELLEN FARISON

Original Issue Date

08/18/2021

Effective Date

08/18/2021

Expiration Date

02/18/2023

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/28/2024