JENNA M FANTA Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003473

License Status

EXPIRED

Business

First Name

JENNA

Middle

Last Name

FANTA

Business Name

JENNA M FANTA

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/25/2016

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2016