MARK H HAGEN - Physical Therapist License in Illinois | # 070005127

MARK H HAGEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005127

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

H

Last Name

HAGEN

Business Name

MARK H HAGEN

Original Issue Date

04/11/1987

Effective Date

09/08/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2010