DIANE K BAMMERLIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006815

License Status

NOT RENEWED

Business

First Name

DIANE K

Last Name

BAMMERLIN

Business Name

DIANE K BAMMERLIN

Original Issue Date

01/08/1992

Effective Date

01/08/1992

Expiration Date

09/30/1994

City

INDIANAPOLIS

State

Zip

46239

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005