MARIN ALICE BLAKE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000132

License Status

EXPIRED

Business

First Name

MARIN

Middle

ALICE

Last Name

BLAKE

Business Name

MARIN ALICE BLAKE

Original Issue Date

03/01/2006

Effective Date

03/01/2006

Expiration Date

03/01/2007

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

03/14/2007