MARY AUDREY M DIZON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015799

License Status

ACTIVE

Business

First Name

MARY AUDREY

Middle

Last Name

DIZON

Business Name

MARY AUDREY M DIZON

Original Issue Date

06/13/2007

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/04/2024