KELBY LANE JOHNSON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005176

License Status

NOT RENEWED

Business

First Name

KELBY

Middle

LANE

Last Name

JOHNSON

Business Name

KELBY LANE JOHNSON

Original Issue Date

10/11/2018

Effective Date

10/11/2018

Expiration Date

04/10/2020

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

11/19/2020