BEATRIZ FAGAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001917

License Status

NOT RENEWED

Business

First Name

BEATRIZ

Last Name

FAGAN

Business Name

BEATRIZ FAGAN

Original Issue Date

12/22/1974

Effective Date

12/22/1974

City

EVANSTON

State

Zip

60206

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005