TERRANCE TERRELL WALLESS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021147

License Status

ACTIVE

Business

First Name

TERRANCE

Middle

TERRELL

Last Name

WALLESS

Business Name

TERRANCE TERRELL WALLESS

Original Issue Date

10/20/2014

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2024