JENEA FOWLER SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013636

License Status

NOT RENEWED

Business

First Name

JENEA

Middle

FOWLER

Last Name

SMITH

Business Name

JENEA FOWLER SMITH

Original Issue Date

09/17/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

02/08/2007