FRANCIENNA BONNITA GRANT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010790

License Status

NOT RENEWED

Business

First Name

FRANCIENNA

Middle

BONNITA

Last Name

GRANT

Business Name

FRANCIENNA BONNITA GRANT

Original Issue Date

09/10/1998

Effective Date

09/10/1998

Expiration Date

09/30/2002

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005