DIANA C CHANG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008596

License Status

ACTIVE

Business

First Name

DIANA

Middle

Last Name

CHANG

Business Name

DIANA C CHANG

Original Issue Date

06/08/2019

Effective Date

08/20/2025

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/20/2025