DIANE MARIE WEAVER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017881

License Status

ACTIVE

Business

First Name

DIANE

Middle

MARIE

Last Name

WEAVER

Business Name

DIANE MARIE WEAVER

Original Issue Date

07/15/2010

Effective Date

08/07/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/07/2024