DIANE C HILLARD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003910

License Status

NOT RENEWED

Business

First Name

DIANE C

Last Name

HILLARD

Business Name

DIANE C HILLARD

Original Issue Date

04/07/1983

Effective Date

04/07/1983

Expiration Date

09/30/1986

City

ALEXIS

State

Zip

61412

County

WARREN

Ever Disciplined

LastModifiedDate

10/14/2005