ANNA WAGNER OTD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013695

License Status

NOT RENEWED

Business

Title

OTD

First Name

ANNA

Last Name

WAGNER

Business Name

ANNA WAGNER OTD

Original Issue Date

06/26/2020

Effective Date

12/02/2021

Expiration Date

12/31/2023

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2024