MICHAEL R SMITH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027045

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

SMITH

Business Name

MICHAEL R SMITH

Original Issue Date

10/05/2022

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

ROSCOE

State

Zip

61073

Ever Disciplined

LastModifiedDate

09/17/2024