MICHAEL K CLARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002951

License Status

NOT RENEWED

Business

First Name

MICHAEL K

Last Name

CLARK

Business Name

MICHAEL K CLARK

Original Issue Date

02/02/1998

Effective Date

07/04/2019

Expiration Date

01/31/2022

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/19/2022