TRACY LEE WAGGONER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009726

License Status

ACTIVE

Business

First Name

TRACY LEE

Last Name

WAGGONER

Business Name

TRACY LEE WAGGONER

Original Issue Date

10/21/1996

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

09/23/2024