SCOTT R FOGUS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015922

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

FOGUS

Business Name

SCOTT R FOGUS

BusinessDBA

FOGUS

Original Issue Date

08/21/2007

Effective Date

09/29/2014

Expiration Date

09/30/2016

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

11/26/2016