LESLEY ANNE BLACKFORD Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004772

License Status

ACTIVE

Business

First Name

LESLEY ANNE

Last Name

BLACKFORD

Business Name

LESLEY ANNE BLACKFORD

Original Issue Date

11/01/1995

Effective Date

10/28/2025

Expiration Date

10/31/2027

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/28/2025