MARK J WIESEMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007881

License Status

INACTIVE

Business

First Name

MARK J

Last Name

WIESEMAN

Business Name

MARK J WIESEMAN

Original Issue Date

11/16/1993

Effective Date

11/16/1993

Expiration Date

09/30/2002

City

VICTORIA

State

Zip

77904

County

TEXAS

Ever Disciplined

LastModifiedDate

10/17/2005