LESLIE G MAYBERRY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008102

License Status

NOT RENEWED

Business

First Name

LESLIE G

Last Name

MAYBERRY

Business Name

LESLIE G MAYBERRY

Original Issue Date

03/21/1994

Effective Date

03/21/1994

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005