DIANA M DULLE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001050

License Status

INACTIVE

Business

First Name

DIANA M

Last Name

DULLE

Business Name

DIANA M DULLE

Original Issue Date

11/27/1991

Effective Date

11/27/1991

Expiration Date

09/30/2003

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005