ROY RALPH WIGHTMAN - Physical Therapist License in Illinois | # 070000596

ROY RALPH WIGHTMAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000596

License Status

NOT RENEWED

Business

N

First Name

ROY RALPH

Last Name

WIGHTMAN

Business Name

ROY RALPH WIGHTMAN

Original Issue Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005