JAMES GERALD WALLENBERG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026837

License Status

ACTIVE

Business

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

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

08/02/2024