MITCHELL LEE BASTILLO Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003765

License Status

NOT RENEWED

Business

First Name

MITCHELL

Middle

LEE

Last Name

BASTILLO

Business Name

MITCHELL LEE BASTILLO

Original Issue Date

08/26/2015

Effective Date

08/26/2015

Expiration Date

08/26/2016

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2017