LESLIE WILLIAM BALK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000223

License Status

NOT RENEWED

Business

First Name

LESLIE WILLIAM

Last Name

BALK

Business Name

LESLIE WILLIAM BALK

Original Issue Date

01/01/1998

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/14/2005