JAMES A WIDMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000477

License Status

INACTIVE

Business

First Name

JAMES A

Last Name

WIDMAN

Business Name

JAMES A WIDMAN

Original Issue Date

08/28/1991

Effective Date

08/28/1991

Expiration Date

09/30/1993

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/14/2005