STEPHEN D WISEGARVER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010211

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

Last Name

WISEGARVER

Business Name

STEPHEN D WISEGARVER

Original Issue Date

08/08/2024

Effective Date

08/06/2025

Expiration Date

09/30/2027

City

BERKELEY

State

Zip

60163

County

COOK

Ever Disciplined

LastModifiedDate

08/06/2025