JANET O CLARK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005868

License Status

INACTIVE

Business

First Name

JANET O

Last Name

CLARK

Business Name

JANET O CLARK

Original Issue Date

01/12/1990

Effective Date

10/01/2022

Expiration Date

09/30/2024

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

09/11/2024