ERIN E BLAZE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004607

License Status

EXPIRED

Business

First Name

ERIN

Middle

Last Name

BLAZE

Business Name

ERIN E BLAZE

Original Issue Date

08/04/2017

Effective Date

08/04/2017

Expiration Date

08/04/2018

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2018