MARK T LUCAS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011678

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

LUCAS

Business Name

MARK T LUCAS

Original Issue Date

12/28/1999

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ANN ARBOR

State

Zip

48103

Ever Disciplined

LastModifiedDate

07/13/2006