ROLLANDA FAYETTE MCCOY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016770

License Status

NOT RENEWED

Business

First Name

ROLLANDA

Middle

FAYETTE

Last Name

MCCOY

Business Name

ROLLANDA FAYETTE MCCOY

Original Issue Date

10/22/2008

Effective Date

09/29/2016

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

12/05/2018