DONNEL T DIMOND Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011257

License Status

NOT RENEWED

Business

First Name

DONNEL

Middle

Last Name

DIMOND

Business Name

DONNEL T DIMOND

Original Issue Date

04/20/1999

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/25/2007