URIAN M CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025427

License Status

ACTIVE

Business

First Name

URIAN

Middle

Last Name

CLARK

Business Name

URIAN M CLARK

Original Issue Date

08/25/2020

Effective Date

09/14/2024

Expiration Date

09/30/2026

City

SOUTH HOLLAND

State

Zip

60473

Ever Disciplined

LastModifiedDate

12/04/2024