DOUGLAS J BULL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006597

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

BULL

Business Name

DOUGLAS J BULL

Original Issue Date

10/25/2013

Effective Date

09/30/2019

Expiration Date

01/31/2022

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

05/19/2022