License holder summary

MICHAEL CHARLES WAGNER is a State Occupational Therapy Licensure Board - Occupational Therapist licensed to practice in Idaho. The address on file for MICHAEL CHARLES WAGNER is MANDAN ND 58554. This licensed professional license is current. The license was granted 05/05/2016 and expired on 01/13/2018.

Idaho

Division of Occupational and Professional Licenses

MICHAEL CHARLES WAGNER
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 1598
Date granted
05/05/2016
Date expires
01/13/2018
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
MANDAN ND 58554
idaholicensing.com
ID 43729314
LAST UPDATED 2024-03-23 09:07:27 UTC

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