JACK O SMITH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029422

License Status

ACTIVE

Business

First Name

JACK

Middle

Last Name

SMITH

Business Name

JACK O SMITH

Original Issue Date

08/28/2025

Effective Date

08/28/2025

Expiration Date

09/30/2026

City

SHEBOYGAN FALLS

State

Zip

53085

Ever Disciplined

LastModifiedDate

08/28/2025