JENNIFER RENEE GOODE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004050

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

RENEE

Last Name

GOODE

Business Name

JENNIFER RENEE GOODE

Original Issue Date

05/24/2002

Effective Date

05/24/2002

Expiration Date

09/30/2003

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/17/2005