LISA BLOOM Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002964

License Status

CANCELLED

Business

First Name

LISA

Last Name

BLOOM

Business Name

LISA BLOOM

Original Issue Date

11/21/2013

Effective Date

11/21/2013

Expiration Date

11/21/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

03/13/2015