RENEE WAGNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000316

License Status

NOT RENEWED

Business

First Name

RENEE

Last Name

WAGNER

Business Name

RENEE WAGNER

Original Issue Date

06/21/1985

Expiration Date

12/31/1987

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005