CHARLES SCOTT CANNON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004178

License Status

INACTIVE

Business

First Name

CHARLES

Middle

SCOTT

Last Name

CANNON

Business Name

CHARLES SCOTT CANNON

Original Issue Date

05/02/2003

Effective Date

05/02/2003

Expiration Date

09/30/2005

City

ANNA

State

Zip

75409

County

TEXAS

Ever Disciplined

LastModifiedDate

10/17/2005