BREANNE NICOLE BOCKWOLDT Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146013389

License Status

NOT RENEWED

Business

First Name

BREANNE

Middle

NICOLE

Last Name

BOCKWOLDT

Business Name

BREANNE NICOLE BOCKWOLDT

Original Issue Date

07/15/2016

Effective Date

10/15/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60622

County

WILL

Ever Disciplined

LastModifiedDate

05/18/2022