JENNIFER M BLACK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000228

License Status

ACTIVE

Business

First Name

JENNIFER M

Last Name

BLACK

Business Name

JENNIFER M BLACK

Original Issue Date

08/01/1989

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/05/2025