BRENT B COLGAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014629

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

COLGAN

Business Name

BRENT B COLGAN

Original Issue Date

09/15/2005

Effective Date

09/15/2005

Expiration Date

09/30/2006

City

ST JOSEPH

State

Zip

64506

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/08/2006