BETH LONG DIETRICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001406

License Status

NOT RENEWED

Business

First Name

BETH LONG

Last Name

DIETRICH

Business Name

BETH LONG DIETRICH

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

WEST CHESTER

State

Zip

45069

County

OHIO

Ever Disciplined

LastModifiedDate

10/14/2005