AGNES L VAN DE PUT - Physical Therapist License in Hawaii | # 070009369

AGNES L VAN DE PUT

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009369

License Status

INACTIVE

Business

N

First Name

AGNES L

Last Name

VAN DE PUT

Business Name

AGNES L VAN DE PUT

Original Issue Date

02/14/1996

Effective Date

02/14/1996

Expiration Date

09/30/2004

State

HI

Ever Disciplined

N

LastModifiedDate

09/01/2006