MERLEE NADINE WAGNER - Physical Therapist License in Illinois | # 070000883

MERLEE NADINE WAGNER

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000883

License Status

INACTIVE

Business

N

First Name

MERLEE NADINE

Last Name

WAGNER

Business Name

MERLEE NADINE WAGNER

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005