ANGELA L DERRICK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007459

License Status

NOT RENEWED

Business

First Name

ANGELA L

Last Name

DERRICK

Business Name

ANGELA L DERRICK

Original Issue Date

03/29/1993

Effective Date

03/29/1993

Expiration Date

09/30/1994

City

MIAMI

State

Zip

14354

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/14/2005