JEFFREY J WIELGOS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004013

License Status

INACTIVE

Business

First Name

JEFFREY

Middle

Last Name

WIELGOS

Business Name

JEFFREY J WIELGOS

Original Issue Date

02/13/2002

Effective Date

11/30/2021

Expiration Date

09/30/2023

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/06/2023