MERLEE NADINE WAGNER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000883

License Status

INACTIVE

Business

First Name

MERLEE NADINE

Last Name

WAGNER

Business Name

MERLEE NADINE WAGNER

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005