LISA M BUCK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005619

License Status

INACTIVE

Business

First Name

LISA M

Last Name

BUCK

Business Name

LISA M BUCK

Original Issue Date

12/31/1988

Effective Date

12/31/1988

Expiration Date

09/30/2004

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2006