ANDREW D MACK - Physical Therapist License in Illinois | # 160002767

ANDREW D MACK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002767

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Middle

D

Last Name

MACK

Business Name

ANDREW D MACK

Original Issue Date

09/12/1997

Effective Date

09/12/1997

Expiration Date

09/30/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005