KIMBERLY A CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004598

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

CLARK

Business Name

KIMBERLY A CLARK

Original Issue Date

07/12/2006

Effective Date

09/21/2025

Expiration Date

09/30/2027

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

09/21/2025