DIANE B MERRILL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002984

License Status

NOT RENEWED

Business

First Name

DIANE B

Last Name

MERRILL

Business Name

DIANE B MERRILL

Original Issue Date

11/20/1979

Effective Date

11/20/1979

City

BLOOMSBURG

State

Zip

17815

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/14/2005