MICHAEL EZRA BOYKIN DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029328

License Status

ACTIVE

Business

Title

DPT

First Name

MICHAEL

Middle

EZRA

Last Name

BOYKIN

Business Name

MICHAEL EZRA BOYKIN DPT

Original Issue Date

08/20/2025

Effective Date

08/20/2025

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/20/2025