The holder whose full name is SMITH, KENNETH RICHARD,come from GREENFIELD IN,hold the Phys Ther Assistant license(NO.06000010A) which status is Expired.
| Name | SMITH, KENNETH RICHARD |
|---|---|
| License Number | 06000010A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | GREENFIELD |
| State | IN |