DERRICK STABLES Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023256

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/16/2024