JEFFREY D CLARK - Physical Therapist License in Illinois | # 070012592

JEFFREY D CLARK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012592

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

D

Last Name

CLARK

Business Name

JEFFREY D CLARK

Original Issue Date

08/23/2001

Effective Date

07/30/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013