KATHERINE A WIACEK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023077

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

Last Name

WIACEK

Business Name

KATHERINE A WIACEK

Original Issue Date

08/14/2017

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2024