FREDERICK DUANE SAMPANG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023844

License Status

ACTIVE

Business

First Name

FREDERICK

Middle

DUANE

Last Name

SAMPANG

Business Name

FREDERICK DUANE SAMPANG

Original Issue Date

08/27/2018

Effective Date

09/19/2024

Expiration Date

09/30/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

09/19/2024