BAHRAM T DIBADJ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006477

License Status

ACTIVE

Business

First Name

BAHRAM T

Last Name

DIBADJ

Business Name

BAHRAM T DIBADJ

Original Issue Date

05/03/1991

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2024