DEIDRE C CWIAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021723

License Status

INACTIVE

Business

First Name

DEIDRE

Middle

Last Name

CWIAN

Business Name

DEIDRE C CWIAN

Original Issue Date

08/18/2015

Effective Date

07/16/2018

Expiration Date

09/30/2020

City

CLARKSBURG

State

Zip

20871

Ever Disciplined

LastModifiedDate

07/27/2020