KAYLA L FORDHAM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009218

License Status

ACTIVE

Business

First Name

KAYLA

Middle

Last Name

FORDHAM

Business Name

KAYLA L FORDHAM

Original Issue Date

02/19/2021

Effective Date

09/14/2025

Expiration Date

09/30/2027

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

09/14/2025