License holder summary

LUCILA DIAZ DE DIVERSE is a Physical Therapist licensed to practice in Pennsylvania. The address on file for LUCILA DIAZ DE DIVERSE is SAN JUAN PR 00936. This licensed professional license is not current. The license was granted 03/15/1956 and expired on 12/31/1972.

Pennsylvania

Department of State

LUCILA DIAZ DE DIVERSE
Physical Therapist
License number
PT001450L
Date granted
03/15/1956
Date expires
12/31/1972
Class
Physical Therapist
Status
Expired
Address
SAN JUAN PR 00936
palicensing.org
ID 17290418
LAST UPDATED 2024-04-27 06:01:20 UTC

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