LEYTH C FENTON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024154

License Status

ACTIVE

Business

First Name

LEYTH

Middle

Last Name

FENTON

Business Name

LEYTH C FENTON

Original Issue Date

01/28/2019

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

BLUFORD

State

Zip

62814

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/03/2024