DIANE G EISEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006326

License Status

INACTIVE

Business

First Name

DIANE G

Last Name

EISEN

Business Name

DIANE G EISEN

Original Issue Date

01/04/1991

Effective Date

01/04/1991

Expiration Date

09/30/1994

City

SCOTTSDALE

State

Zip

85260

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/14/2005