VICKI D CLARK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002099

License Status

NOT RENEWED

Business

First Name

VICKI D

Last Name

CLARK

Business Name

VICKI D CLARK

Original Issue Date

01/14/1989

Effective Date

12/05/2019

Expiration Date

01/31/2022

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

05/18/2022