MICHAEL D PLACK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006659

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

PLACK

Business Name

MICHAEL D PLACK

Original Issue Date

11/20/2013

Effective Date

09/07/2025

Expiration Date

09/30/2027

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

09/07/2025