RANDY EUGENE DURBIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005046

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

EUGENE

Last Name

DURBIN

Business Name

RANDY EUGENE DURBIN

Original Issue Date

09/03/2008

Effective Date

09/11/2019

Expiration Date

01/31/2022

City

PEKIN

State

Zip

61554

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/19/2022