DARCEE L DIVAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012914

License Status

ACTIVE

Business

First Name

DARCEE

Middle

Last Name

DIVAN

Business Name

DARCEE L DIVAN

Original Issue Date

03/14/2002

Effective Date

08/11/2024

Expiration Date

09/30/2026

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/11/2024