KRISTA J CLARK - Physical Therapist License in California | # 070004418

KRISTA J CLARK

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004418

License Status

INACTIVE

Business

N

First Name

KRISTA J

Last Name

CLARK

Business Name

KRISTA J CLARK

Original Issue Date

02/06/1985

Effective Date

02/06/1985

Expiration Date

09/30/1988

State

CA

Ever Disciplined

N

LastModifiedDate

10/14/2005