DEANNA L MUMFORD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012108

License Status

ACTIVE

Business

First Name

DEANNA

Middle

Last Name

MUMFORD

Business Name

DEANNA L MUMFORD

Original Issue Date

09/14/2000

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

09/17/2024