DIANE GRANDT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002761

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

GRANDT

Business Name

DIANE GRANDT

Original Issue Date

12/18/1978

Effective Date

08/25/2016

Expiration Date

09/30/2018

City

HAMPSHIRE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

12/05/2018