DIANE ELIZABETH COLLEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002524

License Status

NOT RENEWED

Business

First Name

DIANE ELIZABETH

Last Name

COLLEY

Business Name

DIANE ELIZABETH COLLEY

Original Issue Date

12/30/1977

Effective Date

09/15/2020

Expiration Date

09/30/2022

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/28/2022