KERRISA LYNN SMITH - Physical Therapist License in New York | # 070017763

KERRISA LYNN SMITH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017763

License Status

NOT RENEWED

Business

N

First Name

KERRISA

Middle

LYNN

Last Name

SMITH

Business Name

KERRISA LYNN SMITH

Original Issue Date

05/10/2010

Effective Date

09/02/2010

Expiration Date

09/30/2012

State

NY

Ever Disciplined

N

LastModifiedDate

01/16/2013