DAVID W SMITH SR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003246

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

SMITH SR

Business Name

DAVID W SMITH SR

Original Issue Date

12/22/1998

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

HARDIN

State

Zip

62047

County

CALHOUN

Ever Disciplined

LastModifiedDate

01/13/2020