DANIELLE C CLEARWATER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007999

License Status

INACTIVE

Business

First Name

DANIELLE

Middle

Last Name

CLEARWATER

Business Name

DANIELLE C CLEARWATER

Original Issue Date

08/18/2017

Effective Date

11/20/2021

Expiration Date

09/30/2023

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/16/2023