DEREK E LANGSTON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018276

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

LANGSTON

Business Name

DEREK E LANGSTON

Original Issue Date

01/27/2011

Effective Date

01/27/2011

Expiration Date

09/30/2012

City

HOLLAND

State

Zip

49424

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/16/2013