KENNETH C SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012288

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

SMITH

Business Name

KENNETH C SMITH

Original Issue Date

01/12/2001

Effective Date

09/12/2022

Expiration Date

09/30/2024

City

CARBONDALE

State

Zip

62902

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

02/27/2025