MEGAN E DIECKMANN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013642

License Status

INACTIVE

Business

First Name

MEGAN

Middle

Last Name

DIECKMANN

Business Name

MEGAN E DIECKMANN

Original Issue Date

09/18/2003

Effective Date

07/17/2018

Expiration Date

09/30/2020

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2020