MARY THERESE LAKE Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008647

License Status

ACTIVE

Business

First Name

MARY

Middle

THERESE

Last Name

LAKE

Business Name

MARY THERESE LAKE

Original Issue Date

07/18/2006

Effective Date

08/08/2025

Expiration Date

10/31/2027

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/08/2025