JANICE MARIE WAGNER - Occupational Therapist License in Illinois | # 057002720

JANICE MARIE WAGNER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002720

License Status

NOT RENEWED

Business

N

First Name

JANICE

Middle

MARIE

Last Name

WAGNER

Business Name

JANICE MARIE WAGNER

Original Issue Date

06/20/2006

Effective Date

12/10/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022