KATE E J BLACKBURN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002153

License Status

EXPIRED

Business

First Name

KATE

Middle

E J

Last Name

BLACKBURN

Business Name

KATE E J BLACKBURN

Original Issue Date

12/28/2011

Effective Date

12/28/2011

Expiration Date

12/28/2012

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

01/11/2013