KRISTA R WAGENKNECHT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020452

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

Last Name

WAGENKNECHT

Business Name

KRISTA R WAGENKNECHT

Original Issue Date

11/27/2013

Effective Date

08/20/2018

Expiration Date

09/30/2020

City

STERLING

State

Zip

61081

County

CARROLL

Ever Disciplined

LastModifiedDate

01/14/2021