MELINDA C HAGAMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019468

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

Last Name

HAGAMAN

Business Name

MELINDA C HAGAMAN

Original Issue Date

08/24/2012

Effective Date

07/18/2016

Expiration Date

09/30/2018

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/05/2018