BRENDA J FORE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003938

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

FORE

Business Name

BRENDA J FORE

Original Issue Date

10/24/2001

Effective Date

09/03/2015

Expiration Date

09/30/2017

City

LAGRANGE

State

Zip

30241

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/01/2017