SERENA M WIEGAND - Physical Therapist License in Illinois | # 160007952

SERENA M WIEGAND

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007952

License Status

INACTIVE

Business

N

First Name

SERENA

Middle

M

Last Name

WIEGAND

Business Name

SERENA M WIEGAND

Original Issue Date

08/09/2017

Effective Date

12/09/2021

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

06/30/2023