IDA MARY JACOB Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006190

License Status

EXPIRED

Business

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

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2023