ANNEMARIE DIETZEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017371

License Status

NOT RENEWED

Business

First Name

ANNEMARIE

Last Name

DIETZEN

Business Name

ANNEMARIE DIETZEN

Original Issue Date

08/19/2009

Effective Date

08/30/2012

Expiration Date

09/30/2014

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014