AMANDA KATHLEEN BACK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146010379

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

KATHLEEN

Last Name

BACK

Business Name

AMANDA KATHLEEN BACK

Original Issue Date

07/20/2010

Effective Date

07/20/2010

Expiration Date

10/31/2011

City

NICHOLASVILLE

State

Zip

40356

County

KENTUCKY

Ever Disciplined

LastModifiedDate

12/07/2011