MATTHEW RICHARD WISEHART Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023409

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

RICHARD

Last Name

WISEHART

Business Name

MATTHEW RICHARD WISEHART

Original Issue Date

11/02/2017

Effective Date

09/05/2018

Expiration Date

09/30/2020

City

EAGLE

State

Zip

83616

Ever Disciplined

LastModifiedDate

01/14/2021