TERRANCE TERRELL WALLESS - Physical Therapist License in Illinois | # 070021147

TERRANCE TERRELL WALLESS

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021147

License Status

ACTIVE

Business

N

First Name

TERRANCE

Middle

TERRELL

Last Name

WALLESS

Business Name

TERRANCE TERRELL WALLESS

Original Issue Date

10/20/2014

Effective Date

09/27/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2024