ALICIA R DITTMAR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004848

License Status

NOT RENEWED

Business

First Name

ALICIA R

Last Name

DITTMAR

Business Name

ALICIA R DITTMAR

Original Issue Date

12/26/1986

Effective Date

12/26/1986

Expiration Date

09/30/1996

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/14/2005