ELIZABETH E FONGE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010047

License Status

NOT RENEWED

Business

First Name

ELIZABETH E

Last Name

FONGE

Business Name

ELIZABETH E FONGE

Original Issue Date

03/27/1997

Effective Date

03/27/1997

Expiration Date

09/30/2000

City

OAKWOOD

State

Zip

30566

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/17/2005