AMANDA LANE WAGNER Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000235

License Status

EXPIRED

Business

First Name

AMANDA

Middle

LANE

Last Name

WAGNER

Business Name

AMANDA LANE WAGNER

Original Issue Date

07/11/2006

Effective Date

07/11/2006

Expiration Date

07/11/2007

City

CAMP POINT

State

Zip

62320

County

ADAMS

Ever Disciplined

LastModifiedDate

07/25/2007