DAWN RENEE WAGNER - Occupational Therapist License in Illinois | # 057004360

DAWN RENEE WAGNER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004360

License Status

NOT RENEWED

Business

N

First Name

DAWN

Middle

RENEE

Last Name

WAGNER

Business Name

DAWN RENEE WAGNER

Original Issue Date

08/19/2015

Effective Date

12/19/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026