DORIS MARIE CLARK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006989

License Status

INACTIVE

Business

First Name

DORIS MARIE

Last Name

CLARK

Business Name

DORIS MARIE CLARK

Original Issue Date

05/13/1992

Effective Date

05/13/1992

Expiration Date

09/30/1994

City

DANVILLE

State

Zip

24540

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/14/2005