ASHLEY H CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004135

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

Last Name

CLARK

Business Name

ASHLEY H CLARK

Original Issue Date

12/04/2002

Effective Date

09/24/2025

Expiration Date

09/30/2027

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

09/24/2025