BRYCE D FORTNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018169

License Status

ACTIVE

Business

First Name

BRYCE

Middle

Last Name

FORTNER

Business Name

BRYCE D FORTNER

Original Issue Date

10/07/2010

Effective Date

08/28/2024

Expiration Date

09/30/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

08/28/2024