MARK A WILDEBOER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015786

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

WILDEBOER

Business Name

MARK A WILDEBOER

BusinessDBA

WILDEBOER

Original Issue Date

06/04/2007

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2024