MARTINE DEROM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008753

License Status

NOT RENEWED

Business

First Name

MARTINE

Last Name

DEROM

Business Name

MARTINE DEROM

Original Issue Date

05/04/1995

Effective Date

09/15/2020

Expiration Date

09/30/2022

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022