MARY S GAGEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004310

License Status

INACTIVE

Business

First Name

MARY S

Last Name

GAGEN

Business Name

MARY S GAGEN

Original Issue Date

12/17/1984

Effective Date

12/17/1984

Expiration Date

09/30/2004

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2006