DEANNA VICTORIA LIST Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021865

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

VICTORIA

Last Name

LIST

Business Name

DEANNA VICTORIA LIST

Original Issue Date

10/15/2015

Effective Date

08/20/2018

Expiration Date

09/30/2020

City

OAKDALE

State

Zip

11769

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021