MALLORY ANNE BRAGG Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242008203

License Status

ACTIVE

Business

First Name

MALLORY

Middle

ANNE

Last Name

BRAGG

Business Name

MALLORY ANNE BRAGG

Original Issue Date

05/19/2025

Effective Date

05/19/2025

Expiration Date

11/19/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/19/2025