AMANDA LANE WAGNER Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008923

License Status

ACTIVE

Business

First Name

AMANDA

Middle

LANE

Last Name

WAGNER

Business Name

AMANDA LANE WAGNER

Original Issue Date

05/09/2007

Effective Date

10/30/2025

Expiration Date

10/31/2027

City

CAMP POINT

State

Zip

62320

County

ADAMS

Ever Disciplined

LastModifiedDate

10/30/2025