BECKY L WYATT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001284

License Status

NOT RENEWED

Business

First Name

BECKY L

Last Name

WYATT

Business Name

BECKY L WYATT

Original Issue Date

01/02/1992

Effective Date

09/09/2015

Expiration Date

09/30/2017

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017