KYLE M WIENEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027031

License Status

ACTIVE

Business

First Name

KYLE

Middle

Last Name

WIENEN

Business Name

KYLE M WIENEN

Original Issue Date

09/29/2022

Effective Date

08/19/2024

Expiration Date

09/30/2026

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

08/19/2024