JILL ANNE PRUVOST Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001201

License Status

ACTIVE

Business

First Name

JILL

Middle

ANNE

Last Name

PRUVOST

Business Name

JILL ANNE PRUVOST

Original Issue Date

07/18/2006

Effective Date

08/21/2025

Expiration Date

10/31/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

08/21/2025