LINDA W WAGNER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000389

License Status

INACTIVE

Business

First Name

LINDA W

Last Name

WAGNER

Business Name

LINDA W WAGNER

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

CORVALLIS

State

Zip

97330

County

OREGON

Ever Disciplined

LastModifiedDate

10/14/2005