SUSAN C WAGEMANN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003740

License Status

NOT RENEWED

Business

First Name

SUSAN C

Last Name

WAGEMANN

Business Name

SUSAN C WAGEMANN

Original Issue Date

08/11/1995

Effective Date

12/19/2019

Expiration Date

01/31/2022

City

SURPRISE

State

Zip

85374

County

LAKE

Ever Disciplined

LastModifiedDate

05/18/2022