DIANE S KOCH - Physical Therapist License in Illinois | # 070002889

DIANE S KOCH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002889

License Status

NOT RENEWED

Business

N

First Name

DIANE S

Last Name

KOCH

Business Name

DIANE S KOCH

Original Issue Date

04/20/1979

Effective Date

04/20/1979

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005