ANTHONY J STARK - Physical Therapist License in Illinois | # 160005649

ANTHONY J STARK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005649

License Status

NOT RENEWED

Business

N

First Name

ANTHONY

Middle

J

Last Name

STARK

Business Name

ANTHONY J STARK

Original Issue Date

04/08/2011

Effective Date

09/25/2015

Expiration Date

09/30/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017