ANTONIA RICOBENE RUSSIN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146011179

License Status

NOT RENEWED

Business

First Name

ANTONIA

Middle

RICOBENE

Last Name

RUSSIN

Business Name

ANTONIA RICOBENE RUSSIN

Original Issue Date

06/22/2012

Effective Date

08/08/2019

Expiration Date

01/31/2022

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022