JESSICA LYNN BLAKE Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146014371

License Status

ACTIVE

Business

First Name

JESSICA

Middle

LYNN

Last Name

BLAKE

Business Name

JESSICA LYNN BLAKE

Original Issue Date

07/06/2018

Effective Date

09/19/2025

Expiration Date

10/31/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/19/2025