LORA L CLARK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003137

License Status

INACTIVE

Business

First Name

LORA L

Last Name

CLARK

Business Name

LORA L CLARK

Original Issue Date

03/07/1980

Effective Date

03/07/1980

Expiration Date

09/30/2002

City

KIRKWOOD

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005