DAWN RENEE WAGNER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004360

License Status

ACTIVE

Business

First Name

DAWN

Middle

RENEE

Last Name

WAGNER

Business Name

DAWN RENEE WAGNER

Original Issue Date

08/19/2015

Effective Date

12/19/2023

Expiration Date

12/31/2025

City

CREVE COEUR

State

Zip

61610

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/02/2025