STATE OF GEORGIA
Brad Raffensperger, Secretary of State
State Board of Physical Therapy
Physical Therapist
LICENSE NO. PT004236
Adel Azm Dagher
Statesboro, GA 30458
United States
EXP DATE - 12/31/2025
Active
Issue Date - 02/09/1994
A pocket-sized license card is below. Above is an enlarged copy of your pocket card. Please make note of the expiration date on your license. It is your responsibility to renew your license before it expires. Please notify the Board if you have a change of address. Wall certificates suitable for framing are available at cost, see board fee schedule. To order a wall certificate, please order from the web site – www.sos.state.ga.us/plb. Please refer to Board Rules for any continuing education requirements your profession may require. Georgia State Board of Professional Licensing
237 Coliseum Drive
Macon GA 31217
Phone: 404-***-****
www.sos.ga.gov/plb
STATE OF GEORGIA
Brad Raffensperger, Secretary of State
State Board of Physical Therapy
Physical Therapist
LICENSE NO. PT004236
Adel Azm Dagher
100 Lanier Dr, Apt 13
Statesboro, GA 30458
United States
EXP DATE - 12/31/2025
Active
Issue Date - 02/09/1994