CRYSTAL B SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005868

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

SMITH

Business Name

CRYSTAL B SMITH

Original Issue Date

11/04/2011

Effective Date

08/31/2015

Expiration Date

09/30/2017

City

WHEATON

State

Zip

60187

Ever Disciplined

LastModifiedDate

11/01/2017