SUSAN W SMITH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005408

License Status

ACTIVE

Business

First Name

SUSAN W

Last Name

SMITH

Business Name

SUSAN W SMITH

Original Issue Date

03/12/1988

Effective Date

07/12/2024

Expiration Date

09/30/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/12/2024