MICHAEL COOPER BLACKBURN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001579

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

COOPER

Last Name

BLACKBURN

Business Name

MICHAEL COOPER BLACKBURN

Original Issue Date

10/13/2015

Effective Date

08/06/2025

Expiration Date

10/31/2027

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

08/06/2025