GINA MARIE SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013408

License Status

NOT RENEWED

Business

First Name

GINA

Middle

MARIE

Last Name

SMITH

Business Name

GINA MARIE SMITH

Original Issue Date

03/12/2003

Effective Date

08/27/2010

Expiration Date

09/30/2012

City

DUBUQUE

State

Zip

52003

County

IOWA

Ever Disciplined

LastModifiedDate

01/16/2013