Indiana
Professional Licensing Agency
AMY JO BLAZEK
Speech Language Pathology & Audio Board - Clinical Fellowship Year
License number
46000188A
Date granted
04/23/1992
Date expires
04/23/1995
Class
Speech Language Pathology & Audio Board - Clinical Fellowship Year
Status
Expired
Address
FORT WAYNE IN 46804
indianalicensing.org
ID 8623614
LAST UPDATED 2026-05-14 22:12:32 UTC
LAST UPDATED 2026-05-14 22:12:32 UTC
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