LESLIE ROBIN BARRACK - Physical Therapist License in Illinois | # 070012408

LESLIE ROBIN BARRACK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012408

License Status

NOT RENEWED

Business

N

First Name

LESLIE

Middle

ROBIN

Last Name

BARRACK

Business Name

LESLIE ROBIN BARRACK

Original Issue Date

03/29/2001

Effective Date

09/07/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014