ASHLEY N CLARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009461

License Status

NOT RENEWED

Business

First Name

ASHLEY N

Last Name

CLARK

Business Name

ASHLEY N CLARK

Original Issue Date

04/29/1996

Effective Date

04/29/1996

Expiration Date

09/30/1998

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/14/2005