DIANE GENTILE WALL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003557

License Status

NOT RENEWED

Business

First Name

DIANE GENTILE

Last Name

WALL

Business Name

DIANE GENTILE WALL

Original Issue Date

10/29/1981

Effective Date

09/10/2022

Expiration Date

09/30/2024

City

BIG ROCK

State

Zip

60511

County

KANE

Ever Disciplined

LastModifiedDate

02/27/2025