PATRICIA S SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001153

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

SMITH

Business Name

PATRICIA S SMITH

Original Issue Date

12/13/1991

Effective Date

09/08/2009

Expiration Date

09/30/2011

City

FARMINGTON

State

Zip

61531

County

PEORIA

Ever Disciplined

LastModifiedDate

11/04/2011