ANNE MARIE BLAYLOCK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001664

License Status

ACTIVE

Business

First Name

ANNE

Middle

MARIE

Last Name

BLAYLOCK

Business Name

ANNE MARIE BLAYLOCK

Original Issue Date

02/27/2018

Effective Date

10/09/2025

Expiration Date

10/31/2027

City

KILDEER

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2025