MARIE J DIETRICH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006085

License Status

ACTIVE

Business

First Name

MARIE

Middle

Last Name

DIETRICH

Business Name

MARIE J DIETRICH

Original Issue Date

08/09/2012

Effective Date

08/27/2025

Expiration Date

09/30/2027

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/27/2025