MARILYN FAGAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001071

License Status

NOT RENEWED

Business

First Name

MARILYN

Last Name

FAGAN

Business Name

MARILYN FAGAN

Original Issue Date

01/01/1998

City

AURORA

State

Zip

80012

County

COLORADO

Ever Disciplined

LastModifiedDate

10/14/2005