WILLIAM D ROTH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005723

License Status

ACTIVE

Business

First Name

WILLIAM

Middle

Last Name

ROTH

Business Name

WILLIAM D ROTH

Original Issue Date

08/03/2011

Effective Date

09/07/2025

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/07/2025