DEREK M PRICE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009305

License Status

ACTIVE

Business

First Name

DEREK M

Last Name

PRICE

Business Name

DEREK M PRICE

Original Issue Date

01/13/1996

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

07/03/2024