LAUREN L CLARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018062

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

CLARK

Business Name

LAUREN L CLARK

Original Issue Date

08/18/2010

Effective Date

07/25/2012

Expiration Date

09/30/2014

City

BOSTON

State

Zip

02210

Ever Disciplined

LastModifiedDate

11/17/2014