DOUGLAS B WILEY JR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013844

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

WILEY JR

Business Name

DOUGLAS B WILEY JR

Original Issue Date

03/18/2004

Effective Date

07/15/2024

Expiration Date

09/30/2026

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

07/15/2024