JOHN CHARLES CLARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005444

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

CHARLES

Last Name

CLARK

Business Name

JOHN CHARLES CLARK

Original Issue Date

07/14/2010

Effective Date

10/02/2015

Expiration Date

09/30/2017

City

HOBART

State

Zip

46342

Ever Disciplined

LastModifiedDate

11/01/2017