LEAH C CLACK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004962

License Status

INACTIVE

Business

First Name

LEAH C

Last Name

CLACK

Business Name

LEAH C CLACK

Original Issue Date

01/10/1987

Effective Date

01/10/1987

Expiration Date

09/30/2004

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

09/01/2006