MUHAMMAD A FAZAL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010004

License Status

INACTIVE

Business

First Name

MUHAMMAD A

Last Name

FAZAL

Business Name

MUHAMMAD A FAZAL

Original Issue Date

03/01/1997

Effective Date

03/01/1997

Expiration Date

09/30/2004

City

MADISON HEIGHTS

State

Zip

48071

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/01/2006