IDA MARY JACOB - Speech-Language Pathologist License in Illinois | # 242006190

IDA MARY JACOB

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006190

License Status

EXPIRED

Business

N

First Name

IDA

Middle

MARY

Last Name

JACOB

Business Name

IDA MARY JACOB

Original Issue Date

02/27/2021

Effective Date

02/27/2021

Expiration Date

08/27/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023