ROGER EDSON DRAKE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001353

License Status

NOT RENEWED

Business

First Name

ROGER EDSON

Last Name

DRAKE

Business Name

ROGER EDSON DRAKE

Original Issue Date

01/01/1998

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

10/14/2005