JUSTIN ANTHONY DE LEON DIAZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021438

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

ANTHONY DE LEON

Last Name

DIAZ

Business Name

JUSTIN ANTHONY DE LEON DIAZ

Original Issue Date

07/22/2015

Effective Date

07/22/2015

Expiration Date

09/30/2016

City

CINCINNATI

State

Zip

45206

County

OHIO

Ever Disciplined

LastModifiedDate

11/26/2016