DIANA L LILJA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005636

License Status

ACTIVE

Business

First Name

DIANA L

Last Name

LILJA

Business Name

DIANA L LILJA

Original Issue Date

01/07/1989

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2024