DIANE C ANKLAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002647

License Status

NOT RENEWED

Business

First Name

DIANE C

Last Name

ANKLAM

Business Name

DIANE C ANKLAM

Original Issue Date

02/11/1997

Effective Date

08/24/2009

Expiration Date

09/30/2011

City

STERLING HEIGHTS

State

Zip

48313

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/04/2011