ANGELA MARIE DIETZEN - Physical Therapist License in South Carolina | # 070012611

ANGELA MARIE DIETZEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012611

License Status

NOT RENEWED

Business

N

First Name

ANGELA

Middle

MARIE

Last Name

DIETZEN

Business Name

ANGELA MARIE DIETZEN

Original Issue Date

08/30/2001

Effective Date

07/19/2016

Expiration Date

09/30/2018

State

SC

Ever Disciplined

N

LastModifiedDate

12/05/2018