ANNE-MARIE DERYCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001927

License Status

NOT RENEWED

Business

First Name

ANNE-MARIE

Last Name

DERYCK

Business Name

ANNE-MARIE DERYCK

Original Issue Date

12/22/1974

Effective Date

12/22/1974

Expiration Date

08/01/1982

City

OXON HILL

State

Zip

20022

County

MARYLAND

Ever Disciplined

LastModifiedDate

10/14/2005