KATHLEEN A CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011591

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

Last Name

CLARK

Business Name

KATHLEEN A CLARK

Original Issue Date

11/09/1999

Effective Date

09/08/2024

Expiration Date

09/30/2026

City

SAINT CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

09/08/2024