ANNE REGINA SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001094

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

REGINA

Last Name

SMITH

Business Name

ANNE REGINA SMITH

Original Issue Date

01/01/1998

Effective Date

09/30/2020

Expiration Date

09/30/2022

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/28/2022