DIANA M KLIEMANN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000375

License Status

NOT RENEWED

Business

First Name

DIANA M

Last Name

KLIEMANN

Business Name

DIANA M KLIEMANN

Original Issue Date

08/01/1991

Effective Date

08/01/1991

Expiration Date

09/30/2005

City

GREEN BAY

State

Zip

54302

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005