KATHRYNE A DIEDRICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004643

License Status

NOT RENEWED

Business

First Name

KATHRYNE

Middle

Last Name

DIEDRICH

Business Name

KATHRYNE A DIEDRICH

BusinessDBA

KOHLMAN

Original Issue Date

09/12/2006

Effective Date

09/14/2009

Expiration Date

09/30/2011

City

APPLETON

State

Zip

54915

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/04/2011