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
LAST UPDATED 2024-03-23 09:07:27 UTC
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