License holder summary

KRISTEN KIM WAGNER is a Occupational Therapist & Assistant - Occupational Therapist licensed to practice in Michigan. The address on file for KRISTEN KIM WAGNER is Chesterfield, MI 48047. This licensed professional license is current. The license was granted 05/16/1996 and expired on 05/31/2015.

Michigan

Department of Licensing and Regulation

KRISTEN KIM WAGNER
Occupational Therapist & Assistant - Occupational Therapist
License number
5201003316
Date granted
05/16/1996
Date expires
05/31/2015
Class
Occupational Therapist & Assistant - Occupational Therapist
Status
Active
Address
Chesterfield, MI 48047
michiganlicensing.org
ID 25873879
LAST UPDATED 2024-05-09 18:46:02 UTC

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