JENNIFER ANN BLANK - Speech-Language Pathologist License in Illinois | # 146008042

JENNIFER ANN BLANK

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008042

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

ANN

Last Name

BLANK

Business Name

JENNIFER ANN BLANK

Original Issue Date

12/28/2004

Effective Date

09/18/2013

Expiration Date

10/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

12/09/2015