MARTI JO WAGGONER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006237

License Status

ACTIVE

Business

First Name

MARTI JO

Last Name

WAGGONER

Business Name

MARTI JO WAGGONER

Original Issue Date

11/21/1990

Effective Date

09/12/2024

Expiration Date

09/30/2026

City

CLAREMONT

State

Zip

62421

County

RICHLAND

Ever Disciplined

LastModifiedDate

09/12/2024