GARY DUANE CLARK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002280

License Status

INACTIVE

Business

First Name

GARY DUANE

Last Name

CLARK

Business Name

GARY DUANE CLARK

Original Issue Date

01/11/1977

Effective Date

01/11/1977

Expiration Date

09/30/2004

City

TITUSVILLE

State

Zip

16354

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/01/2006