JENNIFER L SMIDDY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016153

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

SMIDDY

Business Name

JENNIFER L SMIDDY

BusinessDBA

KOONS

Original Issue Date

12/18/2007

Effective Date

07/23/2008

Expiration Date

09/30/2010

City

COLCHESTER

State

Zip

62326

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/22/2013