KYLEE ANN WAGENECHT Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004820

License Status

EXPIRED

Business

First Name

KYLEE

Middle

ANN

Last Name

WAGENECHT

Business Name

KYLEE ANN WAGENECHT

Original Issue Date

07/25/2018

Effective Date

07/25/2018

Expiration Date

01/25/2020

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Ever Disciplined

LastModifiedDate

03/05/2020