JEFFREY S WAYMOTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002898

License Status

NOT RENEWED

Business

First Name

JEFFREY S

Last Name

WAYMOTH

Business Name

JEFFREY S WAYMOTH

Original Issue Date

12/16/1997

Effective Date

12/16/1997

Expiration Date

09/30/2001

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/17/2005