RUSSELL K WIEMER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000529

License Status

ACTIVE

Business

First Name

RUSSELL K

Last Name

WIEMER

Business Name

RUSSELL K WIEMER

Original Issue Date

09/09/1991

Effective Date

08/26/2025

Expiration Date

09/30/2027

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

08/26/2025