LESLIE A LACKEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004905

License Status

ACTIVE

Business

First Name

LESLIE

Middle

Last Name

LACKEY

Business Name

LESLIE A LACKEY

BusinessDBA

LESLIE HARRIS

Original Issue Date

11/02/2007

Effective Date

09/21/2025

Expiration Date

09/30/2027

City

ERIE

State

Zip

61250

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/21/2025