DUC VAN CHU Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005611

License Status

NOT RENEWED

Business

First Name

DUC

Middle

VAN

Last Name

CHU

Business Name

DUC VAN CHU

Original Issue Date

11/30/2010

Effective Date

08/24/2017

Expiration Date

09/30/2019

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

01/13/2020