REBECCA A SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000408

License Status

NOT RENEWED

Business

First Name

REBECCA A

Last Name

SMITH

Business Name

REBECCA A SMITH

Original Issue Date

08/15/1991

Effective Date

07/24/2017

Expiration Date

09/30/2019

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/13/2020