RONALD R WAGAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012790

License Status

ACTIVE

Business

First Name

RONALD

Middle

Last Name

WAGAN

Business Name

RONALD R WAGAN

Original Issue Date

12/11/2001

Effective Date

08/26/2024

Expiration Date

09/30/2026

City

GURNEE

State

Zip

60031

Ever Disciplined

LastModifiedDate

08/26/2024