ADAM CHENAULT SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013330

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

CHENAULT

Last Name

SMITH

Business Name

ADAM CHENAULT SMITH

Original Issue Date

12/09/2002

Effective Date

12/09/2002

Expiration Date

09/30/2004

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005