RANDY SCOTT WIECK - Physical Therapist License in Illinois | # 070003127

RANDY SCOTT WIECK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003127

License Status

NOT RENEWED

Business

N

First Name

RANDY SCOTT

Last Name

WIECK

Business Name

RANDY SCOTT WIECK

Original Issue Date

12/24/1979

Effective Date

12/24/1979

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005