J DOUGLAS ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004641

License Status

NOT RENEWED

Business

First Name

J DOUGLAS

Last Name

ANDERSON

Business Name

J DOUGLAS ANDERSON

Original Issue Date

12/31/1985

Effective Date

08/18/2022

Expiration Date

09/30/2024

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/27/2025