DIANNE M WENZL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004049

License Status

NOT RENEWED

Business

First Name

DIANNE M

Last Name

WENZL

Business Name

DIANNE M WENZL

Original Issue Date

10/28/1983

Effective Date

09/14/2012

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014