RIC DOUGLAS STARK - Physical Therapist License in Illinois | # 070012877

RIC DOUGLAS STARK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012877

License Status

NOT RENEWED

Business

N

First Name

RIC

Middle

DOUGLAS

Last Name

STARK

Business Name

RIC DOUGLAS STARK

Original Issue Date

03/04/2002

Effective Date

03/04/2002

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005