DANIELLE M WIESEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009416

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

Last Name

WIESEN

Business Name

DANIELLE M WIESEN

Original Issue Date

10/28/2021

Effective Date

09/23/2025

Expiration Date

09/30/2027

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

09/23/2025