MARY THERESE LAKE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000074

License Status

EXPIRED

Business

First Name

MARY

Middle

THERESE

Last Name

LAKE

Business Name

MARY THERESE LAKE

Original Issue Date

11/18/2005

Effective Date

11/18/2005

Expiration Date

11/18/2006

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

01/26/2007