DIANE J FANNING Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001767

License Status

ACTIVE

Business

First Name

DIANE J

Last Name

FANNING

Business Name

DIANE J FANNING

Original Issue Date

09/20/1993

Effective Date

07/12/2025

Expiration Date

09/30/2027

City

BALLWIN

State

Zip

63021

Ever Disciplined

LastModifiedDate

07/12/2025