ELAINE A SMITH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002197

License Status

INACTIVE

Business

First Name

ELAINE A

Last Name

SMITH

Business Name

ELAINE A SMITH

Original Issue Date

08/30/1995

Effective Date

09/11/2019

Expiration Date

12/31/2021

City

SUMNER

State

Zip

62466

County

LAWRENCE

Ever Disciplined

LastModifiedDate

09/24/2021