DIANE C ANKLAM - Physical Therapist License in Michigan | # 160002647

DIANE C ANKLAM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002647

License Status

NOT RENEWED

Business

N

First Name

DIANE C

Last Name

ANKLAM

Business Name

DIANE C ANKLAM

Original Issue Date

02/11/1997

Effective Date

08/24/2009

Expiration Date

09/30/2011

State

MI

Ever Disciplined

N

LastModifiedDate

11/04/2011