KEVIN W MACK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005840

License Status

INACTIVE

Business

First Name

KEVIN W

Last Name

MACK

Business Name

KEVIN W MACK

Original Issue Date

12/02/1989

Effective Date

12/02/1989

Expiration Date

09/30/2004

City

BENTON

State

Zip

42025

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/01/2006