SUSAN E CLARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006098

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

CLARK

Business Name

SUSAN E CLARK

Original Issue Date

07/03/1990

Effective Date

07/03/1990

Expiration Date

09/30/1992

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005