MITCHELL J VANDERWEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025290

License Status

ACTIVE

Business

First Name

MITCHELL

Middle

Last Name

VANDERWEY

Business Name

MITCHELL J VANDERWEY

Original Issue Date

08/03/2020

Effective Date

09/14/2024

Expiration Date

09/30/2026

City

LOCKPORT

State

Zip

60441

Ever Disciplined

LastModifiedDate

09/14/2024