EVAN L WELLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008430

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

Last Name

WELLER

Business Name

EVAN L WELLER

Original Issue Date

10/25/2018

Effective Date

01/01/2022

Expiration Date

09/30/2023

City

TAYLOR RIDGE

State

Zip

61284

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/02/2024