LESLIE M MACK - Physical Therapist License in Illinois | # 070001275

LESLIE M MACK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001275

License Status

NOT RENEWED

Business

N

First Name

LESLIE M

Last Name

MACK

Business Name

LESLIE M MACK

Original Issue Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005