License holder summary

COLLEEN M FORD is a Medicine - Athletic Trainer licensed to practice in Pennsylvania. The address on file for COLLEEN M FORD is Brookhaven PA 19015. This licensed professional license is current. The license was granted 09/17/2007 and expired on 12/31/2014.

Pennsylvania

Department of State

COLLEEN M FORD
Medicine - Athletic Trainer
License number
RT004218
Date granted
09/17/2007
Date expires
12/31/2014
Class
Medicine - Athletic Trainer
Status
Active
Address
Brookhaven PA 19015
palicensing.org
ID 16618943
LAST UPDATED 2024-04-17 06:49:37 UTC

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