EVA DERAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003443

License Status

NOT RENEWED

Business

First Name

EVA

Last Name

DERAM

Business Name

EVA DERAM

Original Issue Date

06/22/1981

Effective Date

08/26/2020

Expiration Date

09/30/2022

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

11/28/2022