DIANA L WULLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002887

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

WULLER

Business Name

DIANA L WULLER

Original Issue Date

12/23/1997

Effective Date

08/27/2019

Expiration Date

01/31/2022

City

GLENDALE

State

Zip

85308

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/19/2022