SHOSHANA LEANIE CLARK - Physical Therapist License in Illinois | # 070023411

SHOSHANA LEANIE CLARK

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023411

License Status

ACTIVE

Business

N

First Name

SHOSHANA

Middle

LEANIE

Last Name

CLARK

Business Name

SHOSHANA LEANIE CLARK

Original Issue Date

11/06/2017

Effective Date

09/25/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2024