LORI J KONICEK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146003632

License Status

ACTIVE

Business

First Name

LORI J

Last Name

KONICEK

Business Name

LORI J KONICEK

Original Issue Date

07/17/1991

Effective Date

08/20/2025

Expiration Date

10/31/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/20/2025