DIANA L LONG - Physical Therapist License in Kansas | # 070003420

DIANA L LONG

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003420

License Status

NOT RENEWED

Business

N

First Name

DIANA L

Last Name

LONG

Business Name

DIANA L LONG

Original Issue Date

03/31/1981

Effective Date

03/31/1981

Expiration Date

09/30/1990

State

KS

Ever Disciplined

N

LastModifiedDate

10/14/2005