KRISTA R WAGENKNECHT - Physical Therapist License in Illinois | # 070020452

KRISTA R WAGENKNECHT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020452

License Status

NOT RENEWED

Business

N

First Name

KRISTA

Middle

R

Last Name

WAGENKNECHT

Business Name

KRISTA R WAGENKNECHT

Original Issue Date

11/27/2013

Effective Date

08/20/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021