SIVAN SEGAL BLONZ Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000868

License Status

ACTIVE

Business

First Name

SIVAN

Last Name

SEGAL BLONZ

Business Name

SIVAN SEGAL BLONZ

Original Issue Date

07/20/1998

Effective Date

08/08/2025

Expiration Date

10/31/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

08/08/2025