PHYLLIS E DAVIS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004291

License Status

INACTIVE

Business

First Name

PHYLLIS E

Last Name

DAVIS

Business Name

PHYLLIS E DAVIS

Original Issue Date

09/19/1984

Effective Date

09/19/1984

Expiration Date

09/30/1988

City

ROSWELL

State

Zip

30075

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/14/2005