GENA IRENE VERNON-DAVIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012816

License Status

NOT RENEWED

Business

First Name

GENA

Middle

IRENE

Last Name

VERNON-DAVIS

Business Name

GENA IRENE VERNON-DAVIS

Original Issue Date

01/16/2002

Effective Date

01/16/2002

Expiration Date

09/30/2004

City

BRONX

State

Zip

10465

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/17/2005