ROSEMARIE M WAGNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003890

License Status

NOT RENEWED

Business

First Name

ROSEMARIE M

Last Name

WAGNER

Business Name

ROSEMARIE M WAGNER

Original Issue Date

04/07/1983

Effective Date

08/03/2020

Expiration Date

09/30/2022

City

GRAY

State

Zip

04039

County

MAINE

Ever Disciplined

LastModifiedDate

11/28/2022