JODY LYNN WAGNER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005014

License Status

ACTIVE

Business

First Name

JODY

Middle

LYNN

Last Name

WAGNER

Business Name

JODY LYNN WAGNER

Original Issue Date

10/07/1998

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2025