MA BEATINA K AGAGON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006480

License Status

INACTIVE

Business

First Name

MA BEATINA K

Last Name

AGAGON

Business Name

MA BEATINA K AGAGON

Original Issue Date

05/15/1991

Effective Date

05/15/1991

Expiration Date

09/30/1998

City

STOCKTON

State

Zip

95207

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/14/2005