BEATRIZ FAGAN - Physical Therapist License in Illinois | # 070001917

BEATRIZ FAGAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001917

License Status

NOT RENEWED

Business

N

First Name

BEATRIZ

Last Name

FAGAN

Business Name

BEATRIZ FAGAN

Original Issue Date

12/22/1974

Effective Date

12/22/1974

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005