KENDRA S SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002593

License Status

NOT RENEWED

Business

First Name

KENDRA

Middle

Last Name

SMITH

Business Name

KENDRA S SMITH

Original Issue Date

12/04/1996

Effective Date

12/04/1996

Expiration Date

09/30/2005

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005