DIANE T BOQUIST Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020983

License Status

ACTIVE

Business

First Name

DIANE

Middle

Last Name

BOQUIST

Business Name

DIANE T BOQUIST

Original Issue Date

08/26/2014

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

09/17/2024