LURA A LACKIE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003351

License Status

NOT RENEWED

Business

First Name

LURA A

Last Name

LACKIE

Business Name

LURA A LACKIE

Original Issue Date

01/08/1981

Effective Date

08/08/2014

Expiration Date

09/30/2016

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

11/26/2016