FAITH A CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000257

License Status

ACTIVE

Business

First Name

FAITH A

Last Name

CLARK

Business Name

FAITH A CLARK

Original Issue Date

07/22/1991

Effective Date

08/10/2025

Expiration Date

09/30/2027

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

08/10/2025