ALYSSA A WILDEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009135

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

Last Name

WILDEY

Business Name

ALYSSA A WILDEY

Original Issue Date

11/12/2020

Effective Date

11/12/2020

Expiration Date

01/31/2022

City

GREENFIELD

State

Zip

46140

County

HANCOCK

Ever Disciplined

LastModifiedDate

05/19/2022