FIONA E CLARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004931

License Status

NOT RENEWED

Business

First Name

FIONA E

Last Name

CLARK

Business Name

FIONA E CLARK

Original Issue Date

01/10/1987

Effective Date

01/10/1987

Expiration Date

09/30/1988

City

WAUKEGAN

State

Zip

60087

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005