JUDITH A WHALEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003123

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

WHALEN

Business Name

JUDITH A WHALEN

Original Issue Date

10/02/1998

Effective Date

08/31/2011

Expiration Date

09/30/2013

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

11/12/2013