PHYLLIS ANN DEFORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001296

License Status

NOT RENEWED

Business

First Name

PHYLLIS ANN

Last Name

DEFORD

Business Name

PHYLLIS ANN DEFORD

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

JACKSONVILLE

State

Zip

32223

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/14/2005