JENNIFER ANN BLANK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008042

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

BLANK

Business Name

JENNIFER ANN BLANK

Original Issue Date

12/28/2004

Effective Date

09/18/2013

Expiration Date

10/31/2015

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2015