MELISSA S PAYNE WAGNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013020

License Status

ACTIVE

Business

First Name

MELISSA

Middle

Last Name

PAYNE WAGNER

Business Name

MELISSA S PAYNE WAGNER

Original Issue Date

04/19/2002

Effective Date

09/26/2024

Expiration Date

09/30/2026

City

KINGSTON

State

Zip

60145

County

DEKALB

Ever Disciplined

LastModifiedDate

09/26/2024