PHYLLIS JEAN JENNINGS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000914

License Status

NOT RENEWED

Business

First Name

PHYLLIS JEAN

Last Name

JENNINGS

Business Name

PHYLLIS JEAN JENNINGS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

MATTHEWS

State

Zip

28105

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/14/2005