ELIZABETH MARY BANASZAK Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004777

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

MARY

Last Name

BANASZAK

Business Name

ELIZABETH MARY BANASZAK

Original Issue Date

05/08/2018

Effective Date

05/08/2018

Expiration Date

11/08/2019

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2020