CHRISTOPHER R PEGRAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011035

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

PEGRAM

Business Name

CHRISTOPHER R PEGRAM

Original Issue Date

12/02/1998

Effective Date

12/02/1998

Expiration Date

09/30/2000

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005