DEBRA A WENTZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004168

License Status

NOT RENEWED

Business

First Name

DEBRA A

Last Name

WENTZ

Business Name

DEBRA A WENTZ

Original Issue Date

05/08/1984

Effective Date

05/08/1984

Expiration Date

09/30/1988

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005