KELLY LAURETTA RETZLAFF Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001872

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LAURETTA

Last Name

RETZLAFF

Business Name

KELLY LAURETTA RETZLAFF

Original Issue Date

12/15/2021

Effective Date

12/15/2021

Expiration Date

10/31/2023

City

APPLETON

State

Zip

54911

Ever Disciplined

LastModifiedDate

03/28/2024