DIANE A ENRIQUEZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010731

License Status

INACTIVE

Business

First Name

DIANE

Middle

Last Name

ENRIQUEZ

Business Name

DIANE A ENRIQUEZ

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

09/30/2002

City

HINESVILLE

State

Zip

31313

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/17/2005