ADA S CHAGNON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008723

License Status

NOT RENEWED

Business

First Name

ADA S

Last Name

CHAGNON

Business Name

ADA S CHAGNON

Original Issue Date

04/28/1995

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SULLIVAN

State

Zip

47882

County

INDIANA

Ever Disciplined

LastModifiedDate

11/08/2006