MICHAEL D SMITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009216

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

SMITH

Business Name

MICHAEL D SMITH

Original Issue Date

01/02/1996

Effective Date

07/02/2022

Expiration Date

09/30/2024

City

ODIN

State

Zip

62870

County

MARION

Ever Disciplined

LastModifiedDate

02/27/2025