LORA D MOCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006096

License Status

NOT RENEWED

Business

First Name

LORA D

Last Name

MOCK

Business Name

LORA D MOCK

Original Issue Date

06/20/1990

Effective Date

09/29/2020

Expiration Date

09/30/2022

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/28/2022