DIANE E RIENSTRA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010387

License Status

NOT RENEWED

Business

First Name

DIANE E

Last Name

RIENSTRA

Business Name

DIANE E RIENSTRA

Original Issue Date

12/18/1997

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

11/06/2008