California
Department of Consumer Affairs
DERICKSON BRIAN FORREST
Physical Therapists and Physical Therapist Assistants
License number
20114
Date granted
09/14/1994
Date expires
11/30/2015
Class
Physical Therapists and Physical Therapist Assistants
Status
Valid
californialicensing.org
ID 12202506
LAST UPDATED 2026-04-14 01:11:04 UTC
LAST UPDATED 2026-04-14 01:11:04 UTC
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