THOMAS H FAGAN - Physical Therapist License in New Mexico | # 070003040

THOMAS H FAGAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003040

License Status

NOT RENEWED

Business

N

First Name

THOMAS H

Last Name

FAGAN

Business Name

THOMAS H FAGAN

Original Issue Date

12/24/1979

Effective Date

12/24/1979

Expiration Date

09/30/1990

State

NM

Ever Disciplined

N

LastModifiedDate

10/14/2005