MARK E KENWAY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009222

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

KENWAY

Business Name

MARK E KENWAY

Original Issue Date

01/02/1996

Effective Date

01/02/1996

Expiration Date

09/30/1998

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/14/2005