SELENA MARY MEDENBLIK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146012992

License Status

ACTIVE

Business

First Name

SELENA

Middle

MARY

Last Name

MEDENBLIK

Business Name

SELENA MARY MEDENBLIK

Original Issue Date

10/28/2015

Effective Date

10/07/2025

Expiration Date

10/31/2027

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/07/2025