MITCHELL LEE BASTILLO - Speech-Language Pathologist License in Illinois | # 146013465

MITCHELL LEE BASTILLO

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146013465

License Status

ACTIVE

Business

N

First Name

MITCHELL

Middle

LEE

Last Name

BASTILLO

Business Name

MITCHELL LEE BASTILLO

Original Issue Date

08/17/2016

Effective Date

10/08/2025

Expiration Date

10/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

10/08/2025