BRENT B COLGAN - Physical Therapist License in Missouri | # 070014629

BRENT B COLGAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014629

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

B

Last Name

COLGAN

Business Name

BRENT B COLGAN

Original Issue Date

09/15/2005

Effective Date

09/15/2005

Expiration Date

09/30/2006

State

MO

Ever Disciplined

N

LastModifiedDate

11/08/2006