MACKENZIE L SKOUMAL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029010

License Status

ACTIVE

Business

First Name

MACKENZIE

Middle

Last Name

SKOUMAL

Business Name

MACKENZIE L SKOUMAL

Original Issue Date

03/06/2025

Effective Date

03/06/2025

Expiration Date

09/30/2026

City

OREGON

State

Zip

61061

Ever Disciplined

LastModifiedDate

03/06/2025