DIANA SMITH LASSEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001589

License Status

INACTIVE

Business

First Name

DIANA SMITH

Last Name

LASSEN

Business Name

DIANA SMITH LASSEN

Original Issue Date

10/06/1972

Effective Date

07/13/2010

Expiration Date

09/30/2012

City

CLINTON

State

Zip

52732

County

IOWA

Ever Disciplined

LastModifiedDate

07/05/2012