TESSA K WIESBROCK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009112

License Status

ACTIVE

Business

First Name

TESSA

Middle

Last Name

WIESBROCK

Business Name

TESSA K WIESBROCK

Original Issue Date

10/28/2020

Effective Date

09/04/2025

Expiration Date

09/30/2027

City

LACON

State

Zip

61540

Ever Disciplined

LastModifiedDate

09/04/2025