ALEXIS WIENEN DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027043

License Status

ACTIVE

Business

Title

DPT

First Name

ALEXIS

Last Name

WIENEN

Business Name

ALEXIS WIENEN DPT

Original Issue Date

10/05/2022

Effective Date

08/19/2024

Expiration Date

09/30/2026

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

08/19/2024