DEREK R PEQUETTE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012002

License Status

ACTIVE

Business

First Name

DEREK

Middle

Last Name

PEQUETTE

Business Name

DEREK R PEQUETTE

Original Issue Date

07/19/2000

Effective Date

09/25/2024

Expiration Date

09/30/2026

City

BEECHER

State

Zip

60401

Ever Disciplined

LastModifiedDate

09/25/2024