ROBERT EDWARD SMETANKA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002364

License Status

INACTIVE

Business

First Name

ROBERT EDWARD

Last Name

SMETANKA

Business Name

ROBERT EDWARD SMETANKA

Original Issue Date

02/23/1977

Effective Date

02/23/1977

Expiration Date

09/30/1984

City

BOISE

State

Zip

83704

County

IDAHO

Ever Disciplined

LastModifiedDate

10/14/2005