JILL SMITH - Physical Therapist License in Indiana | # 160002995

JILL SMITH

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002995

License Status

INACTIVE

Business

N

First Name

JILL

Last Name

SMITH

Business Name

JILL SMITH

Original Issue Date

05/07/1998

Effective Date

05/07/1998

Expiration Date

09/30/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005