SHELBY J WAGEMANN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004508

License Status

ACTIVE

Business

First Name

SHELBY

Middle

Last Name

WAGEMANN

Business Name

SHELBY J WAGEMANN

Original Issue Date

09/02/2005

Effective Date

09/16/2025

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/16/2025