DARYL FEDERMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002291

License Status

INACTIVE

Business

First Name

DARYL

Last Name

FEDERMAN

Business Name

DARYL FEDERMAN

Original Issue Date

01/11/1977

Effective Date

09/19/2018

Expiration Date

09/30/2020

City

VERNON HILLS

State

Zip

60061

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2020