STAN W SMITH - Physical Therapist License in Illinois | # 070003669

STAN W SMITH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003669

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2018