SERENA M WIEGAND Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007952

License Status

INACTIVE

Business

First Name

SERENA

Middle

Last Name

WIEGAND

Business Name

SERENA M WIEGAND

Original Issue Date

08/09/2017

Effective Date

12/09/2021

Expiration Date

09/30/2023

City

CONGERVILLE

State

Zip

61729

County

WOODFORD

Ever Disciplined

LastModifiedDate

06/30/2023