JODY DENISE WAGONER Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005979

License Status

ACTIVE

Business

First Name

JODY

Middle

DENISE

Last Name

WAGONER

Business Name

JODY DENISE WAGONER

Original Issue Date

06/09/1999

Effective Date

09/10/2025

Expiration Date

10/31/2027

City

PARIS

State

Zip

61944

County

EDGAR

Ever Disciplined

LastModifiedDate

09/10/2025