KELLY S WAGLE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018010

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

WAGLE

Business Name

KELLY S WAGLE

Original Issue Date

08/05/2010

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/30/2024