ALEXA ANNE WAGNER - Speech-Language Pathologist License in Illinois | # 242004659

ALEXA ANNE WAGNER

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004659

License Status

NOT RENEWED

Business

N

First Name

ALEXA

Middle

ANNE

Last Name

WAGNER

Business Name

ALEXA ANNE WAGNER

Original Issue Date

08/21/2017

Effective Date

08/22/2018

Expiration Date

02/21/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/19/2020