JADE VANESSA CALUNOD DERDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023644

License Status

NOT RENEWED

Business

First Name

JADE VANESSA

Middle

CALUNOD

Last Name

DERDER

Business Name

JADE VANESSA CALUNOD DERDER

Original Issue Date

06/06/2018

Effective Date

09/21/2022

Expiration Date

09/30/2024

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/27/2025