KELLY CATHERINE SPIVA Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000996

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

CATHERINE

Last Name

SPIVA

Business Name

KELLY CATHERINE SPIVA

Original Issue Date

08/03/2001

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005