MICHELLE A WISEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005844

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

WISEN

Business Name

MICHELLE A WISEN

Original Issue Date

10/21/2011

Effective Date

09/14/2025

Expiration Date

09/30/2027

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/14/2025