DIANE M VAN DEURSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005434

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

VAN DEURSEN

Business Name

DIANE M VAN DEURSEN

Original Issue Date

07/06/2010

Effective Date

09/05/2023

Expiration Date

09/30/2025

City

GRANT PARK

State

Zip

60940

County

KANKAKEE

Ever Disciplined

LastModifiedDate

12/30/2025