JAMAL M SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003987

License Status

NOT RENEWED

Business

First Name

JAMAL

Middle

Last Name

SMITH

Business Name

JAMAL M SMITH

Original Issue Date

01/08/2002

Effective Date

01/08/2002

Expiration Date

09/30/2003

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005