MARIANNE SMITLEY LACKEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003730

License Status

ACTIVE

Business

First Name

MARIANNE SMITLEY

Last Name

LACKEY

Business Name

MARIANNE SMITLEY LACKEY

Original Issue Date

08/25/1982

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/17/2024