KIMBERLY A BALLARD Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002458

License Status

EXPIRED

Business

First Name

KIMBERLY

Middle

Last Name

BALLARD

Business Name

KIMBERLY A BALLARD

Original Issue Date

08/29/2012

Effective Date

08/29/2012

Expiration Date

08/29/2013

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

11/27/2013