TERI L WAGENER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012587

License Status

NOT RENEWED

Business

First Name

TERI

Middle

Last Name

WAGENER

Business Name

TERI L WAGENER

Original Issue Date

08/22/2001

Effective Date

09/14/2022

Expiration Date

09/30/2024

City

ORMOND BEACH

State

Zip

32174

County

FLORIDA

Ever Disciplined

LastModifiedDate

02/27/2025