CHARLES SCOTT CANNON - Physical Therapist License in Texas | # 160004178

CHARLES SCOTT CANNON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004178

License Status

INACTIVE

Business

N

First Name

CHARLES

Middle

SCOTT

Last Name

CANNON

Business Name

CHARLES SCOTT CANNON

Original Issue Date

05/02/2003

Effective Date

05/02/2003

Expiration Date

09/30/2005

State

TX

Ever Disciplined

N

LastModifiedDate

10/17/2005