GRACE E WIBORG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008087

License Status

ACTIVE

Business

First Name

GRACE

Middle

Last Name

WIBORG

Business Name

GRACE E WIBORG

Original Issue Date

10/30/2017

Effective Date

08/13/2025

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/13/2025