ANDREW D MACK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002767

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

MACK

Business Name

ANDREW D MACK

Original Issue Date

09/12/1997

Effective Date

09/12/1997

Expiration Date

09/30/2001

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005