PEGGY L WIESENBERG Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003916

License Status

INACTIVE

Business

First Name

PEGGY

Middle

Last Name

WIESENBERG

Business Name

PEGGY L WIESENBERG

Original Issue Date

09/27/2001

Effective Date

07/07/2011

Expiration Date

09/30/2013

City

MONTICELLO

State

Zip

53570

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/03/2013