DWAYNE M SKIDMORE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004297

License Status

ACTIVE

Business

First Name

DWAYNE

Middle

Last Name

SKIDMORE

Business Name

DWAYNE M SKIDMORE

Original Issue Date

05/27/2004

Effective Date

09/30/2025

Expiration Date

09/30/2027

City

WEST LEBANON

State

Zip

47991

County

INDIANA

Ever Disciplined

LastModifiedDate

09/30/2025