PATRICIA Y BLAKE Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004620

License Status

ACTIVE

Business

First Name

PATRICIA Y

Last Name

BLAKE

Business Name

PATRICIA Y BLAKE

Original Issue Date

05/24/1995

Effective Date

09/16/2025

Expiration Date

10/31/2027

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

09/16/2025