KELLY NICOLE BANASZAK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146018498

License Status

ACTIVE

Business

First Name

KELLY

Middle

NICOLE

Last Name

BANASZAK

Business Name

KELLY NICOLE BANASZAK

Original Issue Date

07/24/2025

Effective Date

11/05/2025

Expiration Date

10/31/2027

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

11/05/2025