DIANE L MICKLE - Physical Therapist License in Illinois | # 070004376

DIANE L MICKLE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004376

License Status

NOT RENEWED

Business

N

First Name

DIANE L

Last Name

MICKLE

Business Name

DIANE L MICKLE

Original Issue Date

01/14/1985

Effective Date

01/14/1985

Expiration Date

09/30/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005