KRISTA J CLARK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004418

License Status

INACTIVE

Business

First Name

KRISTA J

Last Name

CLARK

Business Name

KRISTA J CLARK

Original Issue Date

02/06/1985

Effective Date

02/06/1985

Expiration Date

09/30/1988

City

SAN DIEGO

State

Zip

92103

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/14/2005