DEREK MICHAEL WILLGING Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146015365

License Status

ACTIVE

Business

First Name

DEREK

Middle

MICHAEL

Last Name

WILLGING

Business Name

DEREK MICHAEL WILLGING

Original Issue Date

06/09/2020

Effective Date

10/03/2025

Expiration Date

10/31/2027

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/03/2025