CONSTANCE K CLARK - Physical Therapist License in Illinois | # 070002881

CONSTANCE K CLARK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002881

License Status

NOT RENEWED

Business

N

First Name

CONSTANCE K

Last Name

CLARK

Business Name

CONSTANCE K CLARK

Original Issue Date

04/20/1979

Effective Date

04/20/1979

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005