DIANE B MONTGOMERY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004651

License Status

NOT RENEWED

Business

First Name

DIANE B

Last Name

MONTGOMERY

Business Name

DIANE B MONTGOMERY

Original Issue Date

12/31/1985

Effective Date

07/17/2014

Expiration Date

09/30/2016

City

HOUSTON

State

Zip

55943

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/26/2016