JESSICA LYNN BLAKE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004523

License Status

EXPIRED

Business

First Name

JESSICA

Middle

LYNN

Last Name

BLAKE

Business Name

JESSICA LYNN BLAKE

Original Issue Date

07/25/2017

Effective Date

07/25/2017

Expiration Date

07/25/2018

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

12/04/2018