SUSAN E CLARK - Physical Therapist License in Illinois | # 070006098

SUSAN E CLARK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006098

License Status

NOT RENEWED

Business

N

First Name

SUSAN E

Last Name

CLARK

Business Name

SUSAN E CLARK

Original Issue Date

07/03/1990

Effective Date

07/03/1990

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005