License holder summary

MS. KELLY ANN CLARK is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for MS. KELLY ANN CLARK is LAGUNA NIGUEL CA 92677. This licensed professional license is current. The license was granted 02/06/2015 and expired on 11/25/2016.

Idaho

Division of Occupational and Professional Licenses

MS. KELLY ANN CLARK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3894
Date granted
02/06/2015
Date expires
11/25/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
LAGUNA NIGUEL CA 92677
idaholicensing.com
ID 43730806
LAST UPDATED 2024-02-13 15:16:59 UTC

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