PAULA E FORNEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002054

License Status

NOT RENEWED

Business

First Name

PAULA E

Last Name

FORNEY

Business Name

PAULA E FORNEY

Original Issue Date

12/22/1975

Effective Date

12/22/1975

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2005