WENDY R WAGNER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007321

License Status

INACTIVE

Business

First Name

WENDY

Middle

Last Name

WAGNER

Business Name

WENDY R WAGNER

Original Issue Date

11/12/2004

Effective Date

11/12/2004

Expiration Date

12/31/2005

City

PLAIN DEALING

State

Zip

71064

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/25/2005