BROCK WAYNE ATHEY - Physical Therapist License in Illinois | # 070018141

BROCK WAYNE ATHEY

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018141

License Status

ACTIVE

Business

N

First Name

BROCK

Middle

WAYNE

Last Name

ATHEY

Business Name

BROCK WAYNE ATHEY

Original Issue Date

09/22/2010

Effective Date

07/30/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/30/2024