KIM MARIE WAGUESPACK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005887

License Status

NOT RENEWED

Business

First Name

KIM

Middle

MARIE

Last Name

WAGUESPACK

Business Name

KIM MARIE WAGUESPACK

Original Issue Date

03/08/1999

Effective Date

10/13/2023

Expiration Date

10/31/2025

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/04/2026