RAYNA L FAGUS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004417

License Status

NOT RENEWED

Business

First Name

RAYNA

Middle

Last Name

FAGUS

Business Name

RAYNA L FAGUS

Original Issue Date

03/29/2005

Effective Date

09/28/2009

Expiration Date

09/30/2011

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2011