MARY DOROTHY JANE BLASE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146013936

License Status

NOT RENEWED

Business

First Name

MARY DOROTHY

Middle

JANE

Last Name

BLASE

Business Name

MARY DOROTHY JANE BLASE

Original Issue Date

07/27/2017

Effective Date

08/03/2019

Expiration Date

01/31/2022

City

LOMA LINDA

State

Zip

92354

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/18/2022