DESIREE NICOLE DIAZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027291

License Status

ACTIVE

Business

First Name

DESIREE

Middle

NICOLE

Last Name

DIAZ

Business Name

DESIREE NICOLE DIAZ

Original Issue Date

03/16/2023

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/04/2024