JACKSON T SMART Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028290

License Status

ACTIVE

Business

First Name

JACKSON

Middle

Last Name

SMART

Business Name

JACKSON T SMART

Original Issue Date

05/24/2024

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/05/2025