THOMAS H FAGAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003040

License Status

NOT RENEWED

Business

First Name

THOMAS H

Last Name

FAGAN

Business Name

THOMAS H FAGAN

Original Issue Date

12/24/1979

Effective Date

12/24/1979

Expiration Date

09/30/1990

City

SANTA FE

State

Zip

87505

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/14/2005