Idaho
Division of Occupational and Professional Licenses
CHARLES THOMAS WAGNER
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 208
Date granted
01/04/1980
Date expires
08/24/2015
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
TWIN FALLS ID 83301
idaholicensing.com
ID 43733469
LAST UPDATED 2024-04-10 12:28:09 UTC
LAST UPDATED 2024-04-10 12:28:09 UTC
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