SARAH ELIZABETH WAGNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024234

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ELIZABETH

Last Name

WAGNER

Business Name

SARAH ELIZABETH WAGNER

Original Issue Date

03/19/2019

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52807

Ever Disciplined

LastModifiedDate

01/14/2021