NATHAN S WAGNER Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007585

License Status

INACTIVE

Business

First Name

NATHAN

Middle

Last Name

WAGNER

Business Name

NATHAN S WAGNER

Original Issue Date

11/25/2008

Effective Date

07/20/2022

Expiration Date

09/30/2024

City

MONTROSE

State

Zip

81403

County

COLORADO

Ever Disciplined

LastModifiedDate

09/27/2024