NYSSA ELAINE WAGNER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016787

License Status

ACTIVE

Business

First Name

NYSSA

Middle

ELAINE

Last Name

WAGNER

Business Name

NYSSA ELAINE WAGNER

Original Issue Date

09/24/2025

Effective Date

12/24/2025

Expiration Date

12/31/2027

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

12/24/2025