GEORGE W WAGEMANN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000825

License Status

NOT RENEWED

Business

First Name

GEORGE W

Last Name

WAGEMANN

Business Name

GEORGE W WAGEMANN

Original Issue Date

10/25/1991

Effective Date

12/25/2021

Expiration Date

09/30/2023

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

02/02/2024