KELLY JO CLARK - Physical Therapist License in Illinois | # 070012560

KELLY JO CLARK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012560

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

JO

Last Name

CLARK

Business Name

KELLY JO CLARK

Original Issue Date

08/01/2001

Effective Date

07/14/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013