DIANA L LONG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003420

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

LONG

Business Name

DIANA L LONG

Original Issue Date

03/31/1981

Effective Date

03/31/1981

Expiration Date

09/30/1990

City

WINFIELD

State

Zip

67156

County

KANSAS

Ever Disciplined

LastModifiedDate

10/14/2005