DIANA WEDEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002872

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

WEDEL

Business Name

DIANA WEDEL

Original Issue Date

02/05/1979

Effective Date

02/05/1979

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2005