PATRICK E DAGG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003356

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

DAGG

Business Name

PATRICK E DAGG

Original Issue Date

06/18/1999

Effective Date

07/17/2019

Expiration Date

01/31/2022

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/19/2022