JEREMIAH D DIAZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026225

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

Last Name

DIAZ

Business Name

JEREMIAH D DIAZ

Original Issue Date

09/02/2021

Effective Date

09/02/2021

Expiration Date

09/30/2022

City

TINLEY PARK

State

Zip

60477

Ever Disciplined

LastModifiedDate

11/28/2022