AMY K CLARK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004172

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

CLARK

Business Name

AMY K CLARK

Original Issue Date

12/04/2014

Effective Date

10/04/2025

Expiration Date

12/31/2027

City

CARBONDALE

State

Zip

62901

County

SALINE

Ever Disciplined

LastModifiedDate

10/04/2025