LISA R PECK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007097

License Status

NOT RENEWED

Business

First Name

LISA R

Last Name

PECK

Business Name

LISA R PECK

Original Issue Date

09/22/1992

Effective Date

09/22/1992

Expiration Date

09/30/1994

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2005