KRISTIN KAY WAGNER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005871

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

KAY

Last Name

WAGNER

Business Name

KRISTIN KAY WAGNER

Original Issue Date

08/14/2000

Effective Date

12/07/2025

Expiration Date

12/31/2027

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

12/07/2025