JILL SMITH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002995

License Status

INACTIVE

Business

First Name

JILL

Last Name

SMITH

Business Name

JILL SMITH

Original Issue Date

05/07/1998

Effective Date

05/07/1998

Expiration Date

09/30/2005

City

SOUTH BEND

State

Zip

46619

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005