DIANE SAMPSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001703

License Status

ACTIVE

Business

First Name

DIANE

Last Name

SAMPSON

Business Name

DIANE SAMPSON

Original Issue Date

06/04/1993

Effective Date

09/03/2025

Expiration Date

09/30/2027

City

DEMOTTE

State

Zip

46310

Ever Disciplined

LastModifiedDate

09/03/2025