MELODY D HAGNER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003190

License Status

INACTIVE

Business

First Name

MELODY D

Last Name

HAGNER

Business Name

MELODY D HAGNER

Original Issue Date

05/21/1980

Effective Date

05/21/1980

Expiration Date

09/30/1996

City

WINSTON SALEM

State

Zip

27103

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/14/2005