KAREN A CLARK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003453

License Status

NOT RENEWED

Business

First Name

KAREN A

Last Name

CLARK

Business Name

KAREN A CLARK

Original Issue Date

08/25/1994

Effective Date

12/01/2003

Expiration Date

12/31/2005

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/16/2006