KIMBERLY A BALLARD Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH-LANGUAGE PATHOLOGY ASSISTANT

License Number

217000176

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BALLARD

Business Name

KIMBERLY A BALLARD

Original Issue Date

08/25/2005

Effective Date

08/11/2011

Expiration Date

10/31/2013

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

12/10/2013