KEVIN C DIERS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004449

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

DIERS

Business Name

KEVIN C DIERS

Original Issue Date

08/22/2005

Effective Date

09/17/2019

Expiration Date

01/31/2022

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/19/2022