DIANE GRANDT - Physical Therapist License in Illinois | # 070002761

DIANE GRANDT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002761

License Status

NOT RENEWED

Business

N

First Name

DIANE

Last Name

GRANDT

Business Name

DIANE GRANDT

Original Issue Date

12/18/1978

Effective Date

08/25/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2018