DIANA JANE SOUDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001913

License Status

NOT RENEWED

Business

First Name

DIANA JANE

Last Name

SOUDER

Business Name

DIANA JANE SOUDER

Original Issue Date

11/15/1974

Effective Date

09/25/2014

Expiration Date

09/30/2016

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/26/2016