WENDY R WAGNER - Occupational Therapist License in Louisiana | # 056007321

WENDY R WAGNER

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007321

License Status

INACTIVE

Business

N

First Name

WENDY

Middle

R

Last Name

WAGNER

Business Name

WENDY R WAGNER

Original Issue Date

11/12/2004

Effective Date

11/12/2004

Expiration Date

12/31/2005

State

LA

Ever Disciplined

N

LastModifiedDate

10/25/2005