PATTI JEAN WAKEFIELD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003902

License Status

ACTIVE

Business

First Name

PATTI JEAN

Last Name

WAKEFIELD

Business Name

PATTI JEAN WAKEFIELD

Original Issue Date

04/07/1983

Effective Date

08/01/2024

Expiration Date

09/30/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/01/2024