ALEXA ANNE WAGNER Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004659

License Status

NOT RENEWED

Business

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

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/19/2020