MALLORI J WILSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016298

License Status

ACTIVE

Business

First Name

MALLORI

Middle

Last Name

WILSON

Business Name

MALLORI J WILSON

Original Issue Date

03/18/2008

Effective Date

09/25/2024

Expiration Date

09/30/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/25/2024