MARK ANTHONY S LEE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005982

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ANTHONY S

Last Name

LEE

Business Name

MARK ANTHONY S LEE

Original Issue Date

04/10/2012

Effective Date

09/26/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022