CHARLES K CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008359

License Status

ACTIVE

Business

First Name

CHARLES K

Last Name

CLARK

Business Name

CHARLES K CLARK

Original Issue Date

09/15/1994

Effective Date

09/07/2024

Expiration Date

09/30/2026

City

YORKVILLE

State

Zip

60560

County

KENDALL

Ever Disciplined

LastModifiedDate

09/07/2024