KYLE J WAGNER - Physical Therapist License in Illinois | # 070022159

KYLE J WAGNER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022159

License Status

NOT RENEWED

Business

N

First Name

KYLE

Middle

J

Last Name

WAGNER

Business Name

KYLE J WAGNER

Original Issue Date

05/27/2016

Effective Date

09/19/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021