MARY ANN DIEDRICH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001820

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

DIEDRICH

Business Name

MARY ANN DIEDRICH

Original Issue Date

05/06/1974

Effective Date

08/29/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2020