ERIK WAGNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018116

License Status

ACTIVE

Business

First Name

ERIK

Last Name

WAGNER

Business Name

ERIK WAGNER

Original Issue Date

09/01/2010

Effective Date

09/10/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/10/2024