ANTHONY D DEROIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007700

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

DEROIN

Business Name

ANTHONY D DEROIN

Original Issue Date

10/31/2016

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/13/2020