Diane May Van Wagner
ExpiredCalifornia license 7400
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 7400
- Status
- Expired (Delinquent)
- First issued
- January 21, 2004
- Expired
- September 30, 2026
- License holder
- Diane May Van Wagner
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
1321 E Scott St
Pensacola, FL 32503-4656
Pensacola, FL 32503-4656
Escambia County