BRENDA M SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000421

License Status

NOT RENEWED

Business

First Name

BRENDA M

Last Name

SMITH

Business Name

BRENDA M SMITH

Original Issue Date

08/15/1991

Effective Date

08/15/1991

Expiration Date

09/30/1993

City

MARISSA

State

Zip

62257

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/14/2005