SHANNON DANIELLE WRAGE Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146017689

License Status

ACTIVE

Business

First Name

SHANNON

Middle

DANIELLE

Last Name

WRAGE

Business Name

SHANNON DANIELLE WRAGE

Original Issue Date

05/15/2024

Effective Date

11/02/2025

Expiration Date

10/31/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/02/2025