ASHLEY NICHOLE WAGNER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008989

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

NICHOLE

Last Name

WAGNER

Business Name

ASHLEY NICHOLE WAGNER

Original Issue Date

03/16/2010

Effective Date

10/26/2025

Expiration Date

12/31/2027

City

ST LOUIS

State

Zip

63109

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/26/2025