KRISTINE A STORK Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146000594

License Status

INACTIVE

Business

First Name

KRISTINE A

Last Name

STORK

Business Name

KRISTINE A STORK

Original Issue Date

05/16/1989

Effective Date

10/19/1999

Expiration Date

10/31/1999

City

WOODBURY

State

Zip

55125

County

MINNESOTA

Ever Disciplined

LastModifiedDate

07/28/2005