CONSTANCE K CLARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002881

License Status

NOT RENEWED

Business

First Name

CONSTANCE K

Last Name

CLARK

Business Name

CONSTANCE K CLARK

Original Issue Date

04/20/1979

Effective Date

04/20/1979

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005