TED E SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002623

License Status

NOT RENEWED

Business

First Name

TED E

Last Name

SMITH

Business Name

TED E SMITH

Original Issue Date

01/10/1997

Effective Date

01/10/1997

Expiration Date

09/30/2003

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005