TRACY LEE WAGGONER - Physical Therapist License in Illinois | # 070009726

TRACY LEE WAGGONER

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009726

License Status

ACTIVE

Business

N

First Name

TRACY LEE

Last Name

WAGGONER

Business Name

TRACY LEE WAGGONER

Original Issue Date

10/21/1996

Effective Date

09/23/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/23/2024