MICHAEL A CLARK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002647

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

CLARK

Business Name

MICHAEL A CLARK

Original Issue Date

08/21/1991

Effective Date

12/09/2019

Expiration Date

01/31/2022

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

05/18/2022