MARY CATHERINE WAGNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014544

License Status

NOT RENEWED

Business

First Name

MARY

Middle

CATHERINE

Last Name

WAGNER

Business Name

MARY CATHERINE WAGNER

Original Issue Date

10/19/2021

Effective Date

10/19/2021

Expiration Date

12/31/2023

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2024