LAURA A DIPPOLD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015733

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

DIPPOLD

Business Name

LAURA A DIPPOLD

BusinessDBA

LAURA DIPPOLD

Original Issue Date

04/25/2007

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

PORTLAND

State

Zip

97203

County

OREGON

Ever Disciplined

LastModifiedDate

01/14/2021