AMY LYNN CLARK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003342

License Status

INACTIVE

Business

First Name

AMY

Middle

LYNN

Last Name

CLARK

Business Name

AMY LYNN CLARK

Original Issue Date

05/04/1999

Effective Date

09/06/2011

Expiration Date

09/30/2013

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

07/03/2013