ROGER R MARIGOMEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011340

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

MARIGOMEN

Business Name

ROGER R MARIGOMEN

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

09/30/2000

City

INDIANAPOLIS

State

Zip

46268

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005