SAMANTHA KAY BLACK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005578

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

KAY

Last Name

BLACK

Business Name

SAMANTHA KAY BLACK

Original Issue Date

08/09/2019

Effective Date

08/09/2019

Expiration Date

02/09/2021

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021