DANA K CONILOGUE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016090

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

CONILOGUE

Business Name

DANA K CONILOGUE

BusinessDBA

KUIKEN

Original Issue Date

10/26/2007

Effective Date

09/03/2008

Expiration Date

09/30/2010

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/08/2010