MEGAN E DIECKMANN - Physical Therapist License in Illinois | # 070013642

MEGAN E DIECKMANN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013642

License Status

INACTIVE

Business

N

First Name

MEGAN

Middle

E

Last Name

DIECKMANN

Business Name

MEGAN E DIECKMANN

Original Issue Date

09/18/2003

Effective Date

07/17/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2020