KIM C SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002410

License Status

NOT RENEWED

Business

First Name

KIM C

Last Name

SMITH

Business Name

KIM C SMITH

Original Issue Date

01/31/1996

Effective Date

05/14/2019

Expiration Date

09/30/2019

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/20/2025