MARY JO A LANG WAGNER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007087

License Status

INACTIVE

Business

First Name

MARY JO A

Last Name

LANG WAGNER

Business Name

MARY JO A LANG WAGNER

Original Issue Date

09/10/1992

Effective Date

08/31/2010

Expiration Date

09/30/2012

City

VALMEYER

State

Zip

62295

County

MONROE

Ever Disciplined

LastModifiedDate

07/05/2012