DIANE KAY BLOCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003599

License Status

NOT RENEWED

Business

First Name

DIANE KAY

Last Name

BLOCH

Business Name

DIANE KAY BLOCH

Original Issue Date

02/09/1982

Effective Date

02/09/1982

Expiration Date

09/30/2004

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2008