License holder summary

Jennifer Derham is a Physical Therapist licensed to practice in Indiana. The address on file for Jennifer Derham is South Bend IN 46615. This licensed professional license is not current. The license was granted 06/25/2010 and expired on 06/30/2014.

Indiana

Professional Licensing Agency

Jennifer Derham
Physical Therapist
License number
05010360A
Date granted
06/25/2010
Date expires
06/30/2014
Class
Physical Therapist
Status
Expired
Address
South Bend IN 46615
indianalicensing.org
ID 8377809
LAST UPDATED 2026-06-05 15:56:53 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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