DEBRA S CLARK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003825

License Status

INACTIVE

Business

First Name

DEBRA S

Last Name

CLARK

Business Name

DEBRA S CLARK

Original Issue Date

11/08/1982

Effective Date

11/08/1982

Expiration Date

09/30/1986

City

ST PETERS

State

Zip

63376

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005