AMANDA L WENGERT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022834

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

WENGERT

Business Name

AMANDA L WENGERT

Original Issue Date

02/16/2017

Effective Date

06/23/2023

Expiration Date

09/30/2024

City

PERRYVILLE

State

Zip

63775

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2025