JENNIFER B WICKENKAMP Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012830

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

WICKENKAMP

Business Name

JENNIFER B WICKENKAMP

Original Issue Date

01/30/2002

Effective Date

07/31/2012

Expiration Date

09/30/2014

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014