DIANE R CLANCY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004974

License Status

ACTIVE

Business

First Name

DIANE

Middle

Last Name

CLANCY

Business Name

DIANE R CLANCY

Original Issue Date

05/27/2008

Effective Date

09/30/2025

Expiration Date

09/30/2027

City

SAINT JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

09/30/2025