LEAH C CLACK - Physical Therapist License in Illinois | # 070004962

LEAH C CLACK

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004962

License Status

INACTIVE

Business

N

First Name

LEAH C

Last Name

CLACK

Business Name

LEAH C CLACK

Original Issue Date

01/10/1987

Effective Date

01/10/1987

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2006