BROOKE K WAGNER Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000669

License Status

EXPIRED

Business

First Name

BROOKE

Middle

Last Name

WAGNER

Business Name

BROOKE K WAGNER

Original Issue Date

08/22/2007

Effective Date

08/22/2007

Expiration Date

08/22/2008

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/05/2008