MICHAEL J DERRY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021601

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

DERRY

Business Name

MICHAEL J DERRY

Original Issue Date

08/11/2015

Effective Date

08/18/2020

Expiration Date

09/30/2022

City

PONTE VEDRA

State

Zip

32081

County

BUREAU

Ever Disciplined

LastModifiedDate

11/28/2022