DAVID J DURHAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003576

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

DURHAM

Business Name

DAVID J DURHAM

Original Issue Date

12/11/1981

Effective Date

12/11/1981

Expiration Date

09/30/1988

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2005