KEVIN LEE SMITH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008587

License Status

ACTIVE

Business

First Name

KEVIN

Middle

LEE

Last Name

SMITH

Business Name

KEVIN LEE SMITH

Original Issue Date

05/28/2019

Effective Date

07/13/2025

Expiration Date

09/30/2027

City

GOREVILLE

State

Zip

62939

Ever Disciplined

LastModifiedDate

11/25/2025