RAYNA L FAGUS - Physical Therapist License in Illinois | # 160004417

RAYNA L FAGUS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004417

License Status

NOT RENEWED

Business

N

First Name

RAYNA

Middle

L

Last Name

FAGUS

Business Name

RAYNA L FAGUS

Original Issue Date

03/29/2005

Effective Date

09/28/2009

Expiration Date

09/30/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2011