California
Department of Consumer Affairs
TATE DERRICK ALAN
Physical Therapists and Physical Therapist Assistants
License number
21112
Date granted
09/21/1995
Date expires
05/31/2017
Class
Physical Therapists and Physical Therapist Assistants
Status
Valid
californialicensing.org
ID 12208905
LAST UPDATED 2024-03-02 03:14:30 UTC
LAST UPDATED 2024-03-02 03:14:30 UTC
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