MARY CATHERINE WAGNER - Occupational Therapist License in Illinois | # 056014544

MARY CATHERINE WAGNER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014544

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

CATHERINE

Last Name

WAGNER

Business Name

MARY CATHERINE WAGNER

Original Issue Date

10/19/2021

Effective Date

10/19/2021

Expiration Date

12/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2024