LEONARD WANTA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003801

License Status

ACTIVE

Business

First Name

LEONARD

Last Name

WANTA

Business Name

LEONARD WANTA

Original Issue Date

11/08/1982

Effective Date

07/22/2024

Expiration Date

09/30/2026

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

07/22/2024