DIANE L BALDACCI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002935

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

BALDACCI

Business Name

DIANE L BALDACCI

Original Issue Date

06/28/1979

Effective Date

08/03/2020

Expiration Date

09/30/2022

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

07/22/2022