LISA M WAGGENER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007246

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

WAGGENER

Business Name

LISA M WAGGENER

Original Issue Date

08/04/2004

Effective Date

08/04/2004

Expiration Date

12/31/2005

City

JOELTON

State

Zip

37080

County

TENNESSEE

Ever Disciplined

LastModifiedDate

02/16/2006