LISA K CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002589

License Status

ACTIVE

Business

First Name

LISA K

Last Name

CLARK

Business Name

LISA K CLARK

Original Issue Date

12/03/1996

Effective Date

09/24/2025

Expiration Date

09/30/2027

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

09/24/2025