STEPHANIE M DITTMER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005598

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

DITTMER

Business Name

STEPHANIE M DITTMER

Original Issue Date

11/16/2010

Effective Date

09/23/2021

Expiration Date

09/30/2023

City

DAVENPORT

State

Zip

52803

Ever Disciplined

LastModifiedDate

02/02/2024