DEREK S SMITH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019274

License Status

INACTIVE

Business

First Name

DEREK

Middle

Last Name

SMITH

Business Name

DEREK S SMITH

Original Issue Date

08/03/2012

Effective Date

08/03/2012

Expiration Date

09/30/2014

City

TONAWANDA

State

Zip

14223

Ever Disciplined

LastModifiedDate

07/10/2012