ROLAND JOSEPH GAGNON - Physical Therapist License in Illinois | # 070000765

ROLAND JOSEPH GAGNON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000765

License Status

INACTIVE

Business

N

First Name

ROLAND JOSEPH

Last Name

GAGNON

Business Name

ROLAND JOSEPH GAGNON

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2006