License holder summary

BLAKE DOUGLAS WAGNER is a Physical And Occupational Therapy - Physical Therapist licensed to practice in Iowa. The address on file for BLAKE DOUGLAS WAGNER is 2016 MCDONALD ST SIOUX CITY IA 51104. This licensed professional license is current. The license was granted 07/21/1992 and expired on 11/15/2015.

Iowa

Professional Licensing Bureau

BLAKE DOUGLAS WAGNER
Physical And Occupational Therapy - Physical Therapist
License number
01883
Date granted
07/21/1992
Date expires
11/15/2015
Class
Physical And Occupational Therapy - Physical Therapist
Status
Active
Address
2016 MCDONALD ST SIOUX CITY IA 51104
iowalicenses.org
ID 24168193
LAST UPDATED 2024-04-20 20:58:07 UTC

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