GARY DUANE CLARK - Physical Therapist License in Pennsylvania | # 070002280

GARY DUANE CLARK

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002280

License Status

INACTIVE

Business

N

First Name

GARY DUANE

Last Name

CLARK

Business Name

GARY DUANE CLARK

Original Issue Date

01/11/1977

Effective Date

01/11/1977

Expiration Date

09/30/2004

State

PA

Ever Disciplined

N

LastModifiedDate

09/01/2006