EVELYN D WIGGINS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003485

License Status

INACTIVE

Business

First Name

EVELYN

Middle

Last Name

WIGGINS

Business Name

EVELYN D WIGGINS

Original Issue Date

11/03/1999

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/09/2009