MICHELE DIETZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001901

License Status

NOT RENEWED

Business

First Name

MICHELE

Last Name

DIETZ

Business Name

MICHELE DIETZ

Original Issue Date

05/05/1994

Effective Date

08/29/2011

Expiration Date

09/30/2013

City

NUNICA

State

Zip

49448

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/12/2013