DEBORA L FORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009285

License Status

NOT RENEWED

Business

First Name

DEBORA L

Last Name

FORD

Business Name

DEBORA L FORD

Original Issue Date

01/10/1996

Effective Date

01/10/1996

Expiration Date

09/30/1998

City

EMPORIA

State

Zip

66801

County

KANSAS

Ever Disciplined

LastModifiedDate

10/14/2005