JUSTIN R WAGNER - Physical Therapist License in Iowa | # 070012644

JUSTIN R WAGNER

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012644

License Status

INACTIVE

Business

N

First Name

JUSTIN

Middle

R

Last Name

WAGNER

Business Name

JUSTIN R WAGNER

Original Issue Date

09/14/2001

Effective Date

09/14/2001

Expiration Date

09/30/2004

State

IA

Ever Disciplined

N

LastModifiedDate

09/01/2006