PATRICE ROSE BLACKBURN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003384

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

ROSE

Last Name

BLACKBURN

Business Name

PATRICE ROSE BLACKBURN

Original Issue Date

11/13/2014

Effective Date

11/13/2014

Expiration Date

11/13/2015

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

01/07/2016