LYDIA RUTH GREEN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008072

License Status

ACTIVE

Business

First Name

LYDIA

Middle

RUTH

Last Name

GREEN

Business Name

LYDIA RUTH GREEN

Original Issue Date

02/04/2005

Effective Date

08/07/2025

Expiration Date

10/31/2027

City

BLOOMINGTON

State

Zip

61705

Ever Disciplined

LastModifiedDate

08/07/2025