LAURA M DIESEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002803

License Status

NOT RENEWED

Business

First Name

LAURA M

Last Name

DIESEN

Business Name

LAURA M DIESEN

Original Issue Date

09/25/1997

Effective Date

09/25/1997

Expiration Date

09/30/2001

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005