License holder summary

KELLY MACK is a Physical Therapist Assistant licensed to practice in Pennsylvania. The address on file for KELLY MACK is MARICOPA AZ 85138. This licensed professional license is not current. The license was granted 11/18/1992 and expired on 12/31/2008.

Pennsylvania

Department of State

KELLY MACK
Physical Therapist Assistant
License number
TE000360L
Date granted
11/18/1992
Date expires
12/31/2008
Class
Physical Therapist Assistant
Status
Voided
Address
MARICOPA AZ 85138
palicensing.org
ID 17324713
LAST UPDATED 2024-04-30 11:53:42 UTC

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