DEBRA MAE WILDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000200

License Status

NOT RENEWED

Business

First Name

DEBRA MAE

Last Name

WILDER

Business Name

DEBRA MAE WILDER

Original Issue Date

07/24/1991

Effective Date

09/27/2021

Expiration Date

09/30/2023

City

MARSEILLES

State

Zip

61341

Ever Disciplined

LastModifiedDate

02/02/2024