CHARLES A WALWORTH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009027

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

WALWORTH

Business Name

CHARLES A WALWORTH

Original Issue Date

12/09/2021

Effective Date

09/27/2025

Expiration Date

09/30/2027

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2025