PAUL ANTHONY WAMBOLD - Physical Therapist License in Illinois | # 070020702

PAUL ANTHONY WAMBOLD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020702

License Status

NOT RENEWED

Business

N

First Name

PAUL

Middle

ANTHONY

Last Name

WAMBOLD

Business Name

PAUL ANTHONY WAMBOLD

Original Issue Date

06/20/2014

Effective Date

09/18/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021