ANGELA M DERRICK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018073

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

DERRICK

Business Name

ANGELA M DERRICK

Original Issue Date

08/19/2010

Effective Date

08/10/2024

Expiration Date

09/30/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

08/10/2024