TRACY LIZETTE HODGES DIAZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008234

License Status

NOT RENEWED

Business

First Name

TRACY LIZETTE

Last Name

HODGES DIAZ

Business Name

TRACY LIZETTE HODGES DIAZ

Original Issue Date

07/18/1994

Effective Date

07/18/1994

Expiration Date

09/30/1998

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/14/2005