LEYTH C FENTON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006629

License Status

NOT RENEWED

Business

First Name

LEYTH

Middle

Last Name

FENTON

Business Name

LEYTH C FENTON

Original Issue Date

11/05/2013

Effective Date

09/20/2017

Expiration Date

09/30/2019

City

WAYNE CITY

State

Zip

62895

County

WAYNE

Ever Disciplined

LastModifiedDate

01/13/2020