DERRICK STABLES - Physical Therapist License in Illinois | # 070023256

DERRICK STABLES

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023256

License Status

ACTIVE

Business

N

First Name

DERRICK

Last Name

STABLES

Business Name

DERRICK STABLES

Original Issue Date

08/24/2017

Effective Date

09/16/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/16/2024