CHRISTINE MARIE LAKE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146009206

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

LAKE

Business Name

CHRISTINE MARIE LAKE

Original Issue Date

10/05/2007

Effective Date

11/18/2021

Expiration Date

10/31/2023

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

03/28/2024