CONNOR J SKOUMAL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024576

License Status

ACTIVE

Business

First Name

CONNOR

Middle

Last Name

SKOUMAL

Business Name

CONNOR J SKOUMAL

Original Issue Date

08/16/2019

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

09/30/2024