IDA MARY JACOB Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146016417

License Status

ACTIVE

Business

First Name

IDA

Middle

MARY

Last Name

JACOB

Business Name

IDA MARY JACOB

Original Issue Date

03/30/2022

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

08/05/2025