ANGELA MARIE DIETZEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012611

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

DIETZEN

Business Name

ANGELA MARIE DIETZEN

Original Issue Date

08/30/2001

Effective Date

07/19/2016

Expiration Date

09/30/2018

City

COLUMBIA

State

Zip

29206

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

12/05/2018