JENNIFER L CLARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019764

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

CLARK

Business Name

JENNIFER L CLARK

Original Issue Date

03/11/2013

Effective Date

10/01/2014

Expiration Date

09/30/2016

City

LIVE OAK

State

Zip

78233

County

TEXAS

Ever Disciplined

LastModifiedDate

11/26/2016