ETHAN M SIMMONS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023087

License Status

ACTIVE

Business

First Name

ETHAN

Middle

Last Name

SIMMONS

Business Name

ETHAN M SIMMONS

Original Issue Date

08/14/2017

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

MOWEAQUA

State

Zip

62550

County

SHELBY

Ever Disciplined

LastModifiedDate

09/04/2024