TONEY G ROTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004174

License Status

NOT RENEWED

Business

First Name

TONEY

Middle

Last Name

ROTH

Business Name

TONEY G ROTH

Original Issue Date

04/21/2003

Effective Date

10/01/2021

Expiration Date

09/30/2023

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

02/02/2024