DEREK M LANDIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019877

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

LANDIS

Business Name

DEREK M LANDIS

Original Issue Date

06/06/2013

Effective Date

06/06/2013

Expiration Date

09/30/2014

City

TELFORD

State

Zip

18969

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/17/2014