JENNIFER CAMDEN WAGNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011092

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

CAMDEN

Last Name

WAGNER

Business Name

JENNIFER CAMDEN WAGNER

Original Issue Date

01/15/1999

Effective Date

09/24/2018

Expiration Date

09/30/2020

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021