JACQUELYN A WAGNER Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000217

License Status

EXPIRED

Business

First Name

JACQUELYN

Middle

Last Name

WAGNER

Business Name

JACQUELYN A WAGNER

Original Issue Date

06/28/2006

Effective Date

06/28/2006

Expiration Date

06/28/2007

City

WAUWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/03/2007