ANDREW D LOCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009234

License Status

NOT RENEWED

Business

First Name

ANDREW D

Last Name

LOCK

Business Name

ANDREW D LOCK

Original Issue Date

01/04/1996

Effective Date

01/04/1996

Expiration Date

09/30/1996

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/14/2005