DEREK W BUSS - Physical Therapist License in Illinois | # 160005397

DEREK W BUSS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005397

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

W

Last Name

BUSS

Business Name

DEREK W BUSS

Original Issue Date

01/26/2010

Effective Date

07/27/2017

Expiration Date

09/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2020