STAN W SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003669

License Status

NOT RENEWED

Business

First Name

STAN W

Last Name

SMITH

Business Name

STAN W SMITH

Original Issue Date

04/02/1982

Effective Date

08/09/2016

Expiration Date

09/30/2018

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

12/05/2018