MARY KATHERINE BLANKENBAKER Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002666

License Status

CANCELLED

Business

First Name

MARY

Middle

KATHERINE

Last Name

BLANKENBAKER

Business Name

MARY KATHERINE BLANKENBAKER

Original Issue Date

07/02/2013

Effective Date

07/02/2013

Expiration Date

07/02/2014

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

03/13/2015