BROOKE K WAGNER - Speech-Language Pathologist License in Illinois | # 242000669

BROOKE K WAGNER

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000669

License Status

EXPIRED

Business

N

First Name

BROOKE

Middle

K

Last Name

WAGNER

Business Name

BROOKE K WAGNER

Original Issue Date

08/22/2007

Effective Date

08/22/2007

Expiration Date

08/22/2008

State

IL

Ever Disciplined

N

LastModifiedDate

09/05/2008