BLAINE HENDRIK BOOGERT Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001566

License Status

EXPIRED

Business

First Name

BLAINE

Middle

HENDRIK

Last Name

BOOGERT

Business Name

BLAINE HENDRIK BOOGERT

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/21/2011

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/07/2011