DEREK MICHAEL WILLGING Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005649

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

MICHAEL

Last Name

WILLGING

Business Name

DEREK MICHAEL WILLGING

Original Issue Date

09/18/2019

Effective Date

09/18/2019

Expiration Date

03/18/2021

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021