SHOSHANA LEANIE CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023411

License Status

ACTIVE

Business

First Name

SHOSHANA

Middle

LEANIE

Last Name

CLARK

Business Name

SHOSHANA LEANIE CLARK

Original Issue Date

11/06/2017

Effective Date

09/25/2024

Expiration Date

09/30/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/25/2024