RUSSELL ALLEN FOLEY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002289

License Status

INACTIVE

Business

First Name

RUSSELL ALLEN

Last Name

FOLEY

Business Name

RUSSELL ALLEN FOLEY

Original Issue Date

01/11/1977

Effective Date

01/11/1977

Expiration Date

09/30/1994

City

FAYETTEVILLE

State

Zip

30214

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/14/2005