DOUGLAS W CORRELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002035

License Status

NOT RENEWED

Business

First Name

DOUGLAS W

Last Name

CORRELL

Business Name

DOUGLAS W CORRELL

Original Issue Date

10/15/1994

Effective Date

10/13/2021

Expiration Date

09/30/2023

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/02/2024