CORY JAMES WIEGMAN - Physical Therapist License in Michigan | # 160003119

CORY JAMES WIEGMAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003119

License Status

NOT RENEWED

Business

N

First Name

CORY

Middle

JAMES

Last Name

WIEGMAN

Business Name

CORY JAMES WIEGMAN

Original Issue Date

10/01/1998

Effective Date

10/01/1998

Expiration Date

09/30/1999

State

MI

Ever Disciplined

N

LastModifiedDate

10/14/2005