ALYSON N WAGNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022488

License Status

ACTIVE

Business

First Name

ALYSON

Middle

Last Name

WAGNER

Business Name

ALYSON N WAGNER

Original Issue Date

08/18/2016

Effective Date

09/09/2024

Expiration Date

09/30/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

09/09/2024