DIANE KAY WHITE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004008

License Status

INACTIVE

Business

First Name

DIANE KAY

Last Name

WHITE

Business Name

DIANE KAY WHITE

Original Issue Date

10/28/1983

Effective Date

08/03/2020

Expiration Date

09/30/2022

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/09/2022