KAMIKA R FORNEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004225

License Status

NOT RENEWED

Business

First Name

KAMIKA

Middle

Last Name

FORNEY

Business Name

KAMIKA R FORNEY

Original Issue Date

11/17/2003

Effective Date

01/12/2006

Expiration Date

09/30/2007

City

CHARLOTTE

State

Zip

28205

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

03/25/2008