MARY THERESE LAKE - Speech-Language Pathologist License in Illinois | # 242000074

MARY THERESE LAKE

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000074

License Status

EXPIRED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/26/2007