ROBERT EARL CLARK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007044

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

EARL

Last Name

CLARK

Business Name

ROBERT EARL CLARK

Original Issue Date

11/26/2003

Effective Date

12/09/2013

Expiration Date

12/31/2015

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

02/08/2016