DIANE M JACOBS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001898

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

JACOBS

Business Name

DIANE M JACOBS

Original Issue Date

04/28/1994

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

RAVENNA

State

Zip

49451

County

MICHIGAN

Ever Disciplined

LastModifiedDate

03/25/2008