PATRICIA A WIESNER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003265

License Status

INACTIVE

Business

First Name

PATRICIA A

Last Name

WIESNER

Business Name

PATRICIA A WIESNER

Original Issue Date

10/20/1980

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/30/2022