DIANE M FELTY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001186

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

FELTY

Business Name

DIANE M FELTY

Original Issue Date

12/18/1991

Effective Date

12/18/1991

Expiration Date

09/30/2005

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005