STACEY L KILLEEN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006920

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

KILLEEN

Business Name

STACEY L KILLEEN

Original Issue Date

01/17/2002

Effective Date

08/29/2017

Expiration Date

10/31/2019

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

01/23/2020