AVI DIAN V PLACE - Physical Therapist License in Illinois | # 070018439

AVI DIAN V PLACE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018439

License Status

NOT RENEWED

Business

N

First Name

AVI DIAN

Middle

V

Last Name

PLACE

Business Name

AVI DIAN V PLACE

Original Issue Date

06/06/2011

Effective Date

07/11/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2018