ANTHONY ROBERT MACK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003150

License Status

NOT RENEWED

Business

First Name

ANTHONY ROBERT

Last Name

MACK

Business Name

ANTHONY ROBERT MACK

Original Issue Date

03/07/1980

Effective Date

03/07/1980

Expiration Date

08/01/1982

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/14/2005