KATHLEEN A WAGNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003546

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

WAGNER

Business Name

KATHLEEN A WAGNER

Original Issue Date

10/29/1981

Effective Date

09/22/2020

Expiration Date

09/30/2022

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022