REDENTOR S GOAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008183

License Status

NOT RENEWED

Business

First Name

REDENTOR S

Last Name

GOAN

Business Name

REDENTOR S GOAN

Original Issue Date

04/28/1994

Effective Date

04/28/1994

Expiration Date

09/30/2002

City

OAKLAND

State

Zip

38060

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/17/2005