License holder summary

LISA M WAGNER is a Occupational Therapist licensed to practice in Pennsylvania. The address on file for LISA M WAGNER is NEW FREEDOM PA 17349. This licensed professional license is current. The license was granted 07/10/1995 and expired on 06/30/2015.

Pennsylvania

Department of State

LISA M WAGNER
Occupational Therapist
License number
OC004200L
Date granted
07/10/1995
Date expires
06/30/2015
Class
Occupational Therapist
Status
Active
Address
NEW FREEDOM PA 17349
palicensing.org
ID 16924448
LAST UPDATED 2024-02-23 15:37:20 UTC

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