KORY D BLACKLOCK Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002016

License Status

EXPIRED

Business

First Name

KORY

Middle

Last Name

BLACKLOCK

Business Name

KORY D BLACKLOCK

Original Issue Date

08/03/2011

Effective Date

08/03/2011

Expiration Date

08/03/2012

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

08/29/2012