JERRY N FOGEL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003578

License Status

INACTIVE

Business

First Name

JERRY N

Last Name

FOGEL

Business Name

JERRY N FOGEL

Original Issue Date

12/11/1981

Effective Date

12/11/1981

Expiration Date

09/30/1986

City

GAITHERSBURG

State

Zip

20878

County

MARYLAND

Ever Disciplined

LastModifiedDate

10/14/2005