LESLIE RAE KANAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016337

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

RAE

Last Name

KANAK

Business Name

LESLIE RAE KANAK

Original Issue Date

04/02/2008

Effective Date

09/18/2012

Expiration Date

09/30/2014

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/17/2014