DIANA L ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003334

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

ANDERSON

Business Name

DIANA L ANDERSON

Original Issue Date

04/12/1999

Effective Date

09/28/2015

Expiration Date

09/30/2017

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

11/01/2017