FREDERICK DUANE SAMPANG - Physical Therapist License in Illinois | # 070023844

FREDERICK DUANE SAMPANG

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023844

License Status

ACTIVE

Business

N

First Name

FREDERICK

Middle

DUANE

Last Name

SAMPANG

Business Name

FREDERICK DUANE SAMPANG

Original Issue Date

08/27/2018

Effective Date

09/19/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/19/2024