Idaho
Division of Occupational and Professional Licenses
MR. DAVID NICHOLAS CLARK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4629
Date granted
05/25/2016
Date expires
05/09/2018
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
SAINT LOUIS MO 63123
idaholicensing.com
ID 43730800
LAST UPDATED 2024-02-10 14:38:04 UTC
LAST UPDATED 2024-02-10 14:38:04 UTC
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