ELIZABETH CLARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002465

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

CLARK

Business Name

ELIZABETH CLARK

Original Issue Date

08/15/1996

Effective Date

08/15/1996

Expiration Date

09/30/1999

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2005