ADRIAN WAGNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017317

License Status

NOT RENEWED

Business

First Name

ADRIAN

Last Name

WAGNER

Business Name

ADRIAN WAGNER

Original Issue Date

08/10/2009

Effective Date

08/10/2009

Expiration Date

09/30/2010

City

EAST SYRACUSE

State

Zip

13057

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/08/2010