DEREK ALAN FALKENSTEIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013227

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

ALAN

Last Name

FALKENSTEIN

Business Name

DEREK ALAN FALKENSTEIN

Original Issue Date

09/25/2002

Effective Date

09/25/2002

Expiration Date

09/30/2004

City

FAIRMONT

State

Zip

26554

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

10/17/2005