MARY ELLEN WAGNER Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146001172

License Status

ACTIVE

Business

First Name

MARY ELLEN

Last Name

WAGNER

Business Name

MARY ELLEN WAGNER

Original Issue Date

06/20/1989

Effective Date

09/02/2025

Expiration Date

10/31/2027

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/02/2025