MARIE SUSAN WAGENER
Graduate Osteopathic Trainee
Pennsylvania OT013275 Inactive
This Pennsylvania license was held by MARIE SUSAN WAGENER. The license is no longer active. It was granted on 06/12/2009 and expired on 06/30/2013
LICENSE DETAILS
- License Number: OT013275
- Category: Graduate Osteopathic Trainee
- Status: Inactive
- Date Granted: 06/12/2009 (almost 16 years ago)
- Expiry Date: 06/30/2013 (almost 12 years ago)
LOCATIONS
A Address
BETHLEHEM PA 18015