CORY JAMES WIEGMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003119

License Status

NOT RENEWED

Business

First Name

CORY

Middle

JAMES

Last Name

WIEGMAN

Business Name

CORY JAMES WIEGMAN

Original Issue Date

10/01/1998

Effective Date

10/01/1998

Expiration Date

09/30/1999

City

BIRMINGHAM

State

Zip

48009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/14/2005