LESLIE M MACK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001275

License Status

NOT RENEWED

Business

First Name

LESLIE M

Last Name

MACK

Business Name

LESLIE M MACK

Original Issue Date

01/01/1998

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2005