DIANE C ANKLAM
Licensed Physical Therapist Assistant
Illinois 160002647 Not Renewed
This Illinois license was held by DIANE C ANKLAM. The license is no longer active. It was granted on 02/11/1997 and expired on 09/30/2011
LICENSE DETAILS
- License Number: 160002647
- Category: LICENSED PHYSICAL THERAPIST ASSISTANT
- Status: Not Renewed
- Date Granted: 02/11/1997 (about 28 years ago)
- Expiry Date: 09/30/2011 (over 13 years ago)
LOCATIONS
A Address
STERLING HEIGHTS, MI 48313