JEFFREY DALE MCINTOSH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001453

License Status

NOT RENEWED

Business

First Name

JEFFREY DALE

Last Name

MCINTOSH

Business Name

JEFFREY DALE MCINTOSH

Original Issue Date

03/19/1992

Effective Date

09/18/2023

Expiration Date

09/30/2025

City

KUTTAWA

State

Zip

42055

County

KENTUCKY

Ever Disciplined

LastModifiedDate

12/30/2025