DIANNA L MCDONALD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003559

License Status

NOT RENEWED

Business

First Name

DIANNA

Middle

Last Name

MCDONALD

Business Name

DIANNA L MCDONALD

Original Issue Date

01/28/2000

Effective Date

10/01/2019

Expiration Date

01/31/2022

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/19/2022