MARY RUTH WIEMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005982

License Status

INACTIVE

Business

First Name

MARY

Middle

RUTH

Last Name

WIEMAN

Business Name

MARY RUTH WIEMAN

Original Issue Date

03/14/1990

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2020