FARON TRAVIS CLARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006764

License Status

ACTIVE

Business

First Name

FARON

Middle

TRAVIS

Last Name

CLARK

Business Name

FARON TRAVIS CLARK

Original Issue Date

06/02/2014

Effective Date

09/21/2025

Expiration Date

09/30/2027

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

09/21/2025