KYLE A WAGNER - Physical Therapist License in Illinois | # 070028136

KYLE A WAGNER

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028136

License Status

ACTIVE

Business

N

First Name

KYLE

Middle

A

Last Name

WAGNER

Business Name

KYLE A WAGNER

Original Issue Date

03/20/2024

Effective Date

07/19/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2024