FIONA E CLARK - Physical Therapist License in Illinois | # 070004931

FIONA E CLARK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004931

License Status

NOT RENEWED

Business

N

First Name

FIONA E

Last Name

CLARK

Business Name

FIONA E CLARK

Original Issue Date

01/10/1987

Effective Date

01/10/1987

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005