ALYSE B CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020923

License Status

ACTIVE

Business

First Name

ALYSE

Middle

Last Name

CLARK

Business Name

ALYSE B CLARK

Original Issue Date

08/22/2014

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/23/2024