JENNIFER MARIE VAN BLAKE Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007253

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

MARIE

Last Name

VAN BLAKE

Business Name

JENNIFER MARIE VAN BLAKE

Original Issue Date

10/10/2002

Effective Date

10/29/2025

Expiration Date

10/31/2027

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/29/2025