STACEY BLOCK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146012909

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

BLOCK

Business Name

STACEY BLOCK

Original Issue Date

08/26/2015

Effective Date

10/12/2021

Expiration Date

10/31/2023

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2024