GORDON EUGENE SMITH - Physical Therapist License in Mississippi | # 070013880

GORDON EUGENE SMITH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013880

License Status

NOT RENEWED

Business

N

First Name

GORDON

Middle

EUGENE

Last Name

SMITH

Business Name

GORDON EUGENE SMITH

Original Issue Date

04/20/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

MS

Ever Disciplined

N

LastModifiedDate

11/08/2006