MARY LUCINDA BUCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004442

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LUCINDA

Last Name

BUCK

Business Name

MARY LUCINDA BUCK

Original Issue Date

06/22/2005

Effective Date

12/28/2021

Expiration Date

09/30/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/02/2024