DENISE JANE DEKRAKER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003163

License Status

INACTIVE

Business

First Name

DENISE JANE

Last Name

DEKRAKER

Business Name

DENISE JANE DEKRAKER

Original Issue Date

03/20/1980

Effective Date

03/20/1980

Expiration Date

09/30/1984

City

HERMOSA BEACH

State

Zip

90254

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/14/2005