ADRIAN WAGNER - Physical Therapist License in New York | # 070017317

ADRIAN WAGNER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017317

License Status

NOT RENEWED

Business

N

First Name

ADRIAN

Last Name

WAGNER

Business Name

ADRIAN WAGNER

Original Issue Date

08/10/2009

Effective Date

08/10/2009

Expiration Date

09/30/2010

State

NY

Ever Disciplined

N

LastModifiedDate

11/08/2010