JENNIFER D PROVOST Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004757

License Status

ACTIVE

Business

First Name

JENNIFER D

Last Name

PROVOST

Business Name

JENNIFER D PROVOST

Original Issue Date

10/05/1995

Effective Date

10/27/2025

Expiration Date

10/31/2027

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/27/2025