CASSANDRA L WAGNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017395

License Status

NOT RENEWED

Business

First Name

CASSANDRA

Middle

Last Name

WAGNER

Business Name

CASSANDRA L WAGNER

Original Issue Date

08/25/2009

Effective Date

09/29/2020

Expiration Date

09/30/2022

City

CEDAR RAPIDS

State

Zip

52402

County

IOWA

Ever Disciplined

LastModifiedDate

11/28/2022