FAKHRY WILSON AZER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003561

License Status

ACTIVE

Business

First Name

FAKHRY WILSON

Last Name

AZER

Business Name

FAKHRY WILSON AZER

Original Issue Date

10/29/1981

Effective Date

07/08/2024

Expiration Date

09/30/2026

City

GALESBURG

State

Zip

61401

Ever Disciplined

LastModifiedDate

07/08/2024