REX W CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009110

License Status

ACTIVE

Business

First Name

REX W

Last Name

CLARK

Business Name

REX W CLARK

Original Issue Date

09/22/1995

Effective Date

09/19/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/19/2024