DIANE L BARTLEBAUGH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003003

License Status

INACTIVE

Business

First Name

DIANE

Middle

Last Name

BARTLEBAUGH

Business Name

DIANE L BARTLEBAUGH

Original Issue Date

05/26/1998

Effective Date

09/22/2011

Expiration Date

09/30/2013

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

07/03/2013