DEREK G NUNAMAKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023866

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

NUNAMAKER

Business Name

DEREK G NUNAMAKER

Original Issue Date

08/30/2018

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

EAST PEORIA

State

Zip

61611

Ever Disciplined

LastModifiedDate

11/28/2022