RENAE DIANE MAYER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002865

License Status

NOT RENEWED

Business

First Name

RENAE DIANE

Last Name

MAYER

Business Name

RENAE DIANE MAYER

Original Issue Date

02/05/1979

Effective Date

09/24/2022

Expiration Date

09/30/2024

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

02/27/2025