LESLIE ROBIN BARRACK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012408

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

ROBIN

Last Name

BARRACK

Business Name

LESLIE ROBIN BARRACK

Original Issue Date

03/29/2001

Effective Date

09/07/2012

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014