PATRICE ROSE BLACKBURN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146012923

License Status

ACTIVE

Business

First Name

PATRICE

Middle

ROSE

Last Name

BLACKBURN

Business Name

PATRICE ROSE BLACKBURN

Original Issue Date

09/01/2015

Effective Date

09/02/2025

Expiration Date

10/31/2027

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2025