INNA DIETRICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011409

License Status

NOT RENEWED

Business

First Name

INNA

Last Name

DIETRICH

Business Name

INNA DIETRICH

Original Issue Date

08/05/1999

Effective Date

09/23/2016

Expiration Date

09/30/2018

City

SOUTHLAKE

State

Zip

76092

County

TEXAS

Ever Disciplined

LastModifiedDate

12/05/2018