JARED MARK WISE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017309

License Status

ACTIVE

Business

First Name

JARED

Middle

MARK

Last Name

WISE

Business Name

JARED MARK WISE

Original Issue Date

08/10/2009

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/03/2024