LEONARD C WANTA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021814

License Status

ACTIVE

Business

First Name

LEONARD

Middle

Last Name

WANTA

Business Name

LEONARD C WANTA

Original Issue Date

09/03/2015

Effective Date

07/25/2024

Expiration Date

09/30/2026

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

07/25/2024