LORETTA E SMYTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002032

License Status

NOT RENEWED

Business

First Name

LORETTA E

Last Name

SMYTH

Business Name

LORETTA E SMYTH

Original Issue Date

06/11/1975

Effective Date

06/11/1975

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2005