DEREK ALAN FALKENSTEIN - Physical Therapist License in West Virginia | # 070013227

DEREK ALAN FALKENSTEIN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013227

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

ALAN

Last Name

FALKENSTEIN

Business Name

DEREK ALAN FALKENSTEIN

Original Issue Date

09/25/2002

Effective Date

09/25/2002

Expiration Date

09/30/2004

State

WV

Ever Disciplined

N

LastModifiedDate

10/17/2005