DIANE K SMITH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004289

License Status

INACTIVE

Business

First Name

DIANE K

Last Name

SMITH

Business Name

DIANE K SMITH

Original Issue Date

09/07/1984

Effective Date

09/07/1984

Expiration Date

09/30/1990

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005