JANICE MARIE WAGNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002720

License Status

NOT RENEWED

Business

First Name

JANICE

Middle

MARIE

Last Name

WAGNER

Business Name

JANICE MARIE WAGNER

Original Issue Date

06/20/2006

Effective Date

12/10/2019

Expiration Date

01/31/2022

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022