KRISTIN M WAGNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011465

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

Last Name

WAGNER

Business Name

KRISTIN M WAGNER

Original Issue Date

09/08/1999

Effective Date

08/31/2024

Expiration Date

09/30/2026

City

JOLIET

State

Zip

60432

County

WILL

Ever Disciplined

LastModifiedDate

08/31/2024