LACEY M WIEGMANN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021294

License Status

ACTIVE

Business

First Name

LACEY

Middle

Last Name

WIEGMANN

Business Name

LACEY M WIEGMANN

Original Issue Date

02/27/2015

Effective Date

07/22/2024

Expiration Date

09/30/2026

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

07/22/2024