ROLAND JOSEPH GAGNON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000765

License Status

INACTIVE

Business

First Name

ROLAND JOSEPH

Last Name

GAGNON

Business Name

ROLAND JOSEPH GAGNON

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

09/01/2006