DEREK BRENT HEISER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024212

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

BRENT

Last Name

HEISER

Business Name

DEREK BRENT HEISER

Original Issue Date

03/09/2019

Effective Date

03/09/2019

Expiration Date

09/30/2020

City

TAMPA

State

Zip

33618

Ever Disciplined

LastModifiedDate

01/14/2021