KYLE A WAGNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028136

License Status

ACTIVE

Business

First Name

KYLE

Middle

Last Name

WAGNER

Business Name

KYLE A WAGNER

Original Issue Date

03/20/2024

Effective Date

07/19/2024

Expiration Date

09/30/2026

City

GLENVIEW

State

Zip

60025

Ever Disciplined

LastModifiedDate

07/19/2024