TONYA S WAKE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001783

License Status

NOT RENEWED

Business

First Name

TONYA S

Last Name

WAKE

Business Name

TONYA S WAKE

Original Issue Date

09/27/1993

Effective Date

12/16/2021

Expiration Date

09/30/2023

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/23/2025