THERESA A CLANCY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006263

License Status

NOT RENEWED

Business

First Name

THERESA A

Last Name

CLANCY

Business Name

THERESA A CLANCY

Original Issue Date

01/04/1991

Effective Date

09/22/2020

Expiration Date

09/30/2022

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

11/28/2022