SUSAN E WIETING Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005514

License Status

ACTIVE

Business

First Name

SUSAN E

Last Name

WIETING

Business Name

SUSAN E WIETING

Original Issue Date

10/18/1988

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/22/2024