DEBRA A WENTZ - Physical Therapist License in Illinois | # 070004168

DEBRA A WENTZ

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004168

License Status

NOT RENEWED

Business

N

First Name

DEBRA A

Last Name

WENTZ

Business Name

DEBRA A WENTZ

Original Issue Date

05/08/1984

Effective Date

05/08/1984

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005