DIANE K GOSSETT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002567

License Status

INACTIVE

Business

First Name

DIANE K

Last Name

GOSSETT

Business Name

DIANE K GOSSETT

Original Issue Date

01/11/1978

Effective Date

09/30/2014

Expiration Date

09/30/2016

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2016