ALEXANDRA C BAUTISTA Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146017694

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

Last Name

BAUTISTA

Business Name

ALEXANDRA C BAUTISTA

Original Issue Date

05/20/2024

Effective Date

10/05/2025

Expiration Date

10/31/2027

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2025