The holder whose full name is WAGNER, DEBRA SUSAN,come from BERWYN IL,hold the Phys Ther Assistant license(NO.06000223A) which status is Expired.
| Name | WAGNER, DEBRA SUSAN |
|---|---|
| License Number | 06000223A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | BERWYN |
| State | IL |