Delaware
Division of Professional Regulation
Dean R. Canal Wencester
Physical Therapy/Athletic Trg - Physical Therapist
License number
J1-0000971
Date granted
09/12/1995
Date expires
01/01/1997
Class
Physical Therapy/Athletic Trg - Physical Therapist
Status
Lapsed
Address
Sweet Springs MO 65351
delawarelicensing.com
ID 20732530
LAST UPDATED 2026-04-03 00:52:11 UTC
LAST UPDATED 2026-04-03 00:52:11 UTC
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