SR AGNES E FADDEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001506

License Status

NOT RENEWED

Business

First Name

SR AGNES E

Last Name

FADDEN

Business Name

SR AGNES E FADDEN

Original Issue Date

01/01/1998

Expiration Date

08/01/1982

City

MENANDS

State

Zip

12204

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2005