DEREK D WESOLOWSKI - Physical Therapist License in Illinois | # 070013965

DEREK D WESOLOWSKI

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013965

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

D

Last Name

WESOLOWSKI

Business Name

DEREK D WESOLOWSKI

Original Issue Date

06/09/2004

Effective Date

08/23/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013