DEVAN A MCCULLOCH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020147

License Status

ACTIVE

Business

First Name

DEVAN

Middle

Last Name

MCCULLOCH

Business Name

DEVAN A MCCULLOCH

Original Issue Date

08/20/2013

Effective Date

09/12/2024

Expiration Date

09/30/2026

City

CHANA

State

Zip

61015

County

OGLE

Ever Disciplined

LastModifiedDate

09/12/2024