DOMINIQUE R BAGBY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020102

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

BAGBY

Business Name

DOMINIQUE R BAGBY

Original Issue Date

08/19/2013

Effective Date

10/02/2018

Expiration Date

09/30/2020

City

APACHE JUNCTION

State

Zip

85120

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/14/2021