MISTI C FENTON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003701

License Status

ACTIVE

Business

First Name

MISTI

Middle

Last Name

FENTON

Business Name

MISTI C FENTON

Original Issue Date

10/13/2000

Effective Date

08/13/2025

Expiration Date

09/30/2027

City

WAYNE CITY

State

Zip

62895

County

WAYNE

Ever Disciplined

LastModifiedDate

08/13/2025