AMY LAKE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003779

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

LAKE

Business Name

AMY LAKE

Original Issue Date

09/01/2015

Effective Date

09/01/2015

Expiration Date

09/01/2016

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2017