DORELYN S WIEGMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003073

License Status

NOT RENEWED

Business

First Name

DORELYN S

Last Name

WIEGMAN

Business Name

DORELYN S WIEGMAN

Original Issue Date

12/24/1979

Effective Date

12/24/1979

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005