JENEA FOWLER SMITH - Physical Therapist License in Illinois | # 070013636

JENEA FOWLER SMITH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013636

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2007