AVI DIAN V PLACE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018439

License Status

NOT RENEWED

Business

First Name

AVI DIAN

Middle

Last Name

PLACE

Business Name

AVI DIAN V PLACE

Original Issue Date

06/06/2011

Effective Date

07/11/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018