California
Department of Consumer Affairs
WAGNER JEFFREY MARK
Physical Therapists and Physical Therapist Assistants
License number
17374
Date granted
04/19/1991
Date expires
10/31/2016
Class
Physical Therapists and Physical Therapist Assistants
Status
Valid
californialicensing.org
ID 12182063
LAST UPDATED 2026-03-17 05:55:07 UTC
LAST UPDATED 2026-03-17 05:55:07 UTC
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