PAULINE M WANTUCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001489

License Status

NOT RENEWED

Business

First Name

PAULINE M

Last Name

WANTUCK

Business Name

PAULINE M WANTUCK

Original Issue Date

07/30/1992

Effective Date

09/28/2023

Expiration Date

09/30/2025

City

WESTERN SPRINGS

State

Zip

60558

Ever Disciplined

LastModifiedDate

12/30/2025