SUSAN D WAGNER Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146002984

License Status

NOT RENEWED

Business

First Name

SUSAN D

Last Name

WAGNER

Business Name

SUSAN D WAGNER

Original Issue Date

09/21/1989

Effective Date

10/01/2003

Expiration Date

10/31/2005

City

HEYWORTH

State

Zip

61745

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/22/2005