JAMES GERALD WALLENBERG - Physical Therapist License in Illinois | # 070026837

JAMES GERALD WALLENBERG

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026837

License Status

ACTIVE

Business

N

First Name

JAMES

Middle

GERALD

Last Name

WALLENBERG

Business Name

JAMES GERALD WALLENBERG

Original Issue Date

08/03/2022

Effective Date

08/02/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/02/2024