BRYCE M WADDELL - Physical Therapist License in Illinois | # 070019387

BRYCE M WADDELL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019387

License Status

NOT RENEWED

Business

N

First Name

BRYCE

Middle

M

Last Name

WADDELL

Business Name

BRYCE M WADDELL

Original Issue Date

08/17/2012

Effective Date

08/17/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014