License holder summary

STACEY LEE CLARK is a Physical Therapist Assistant licensed to practice in Pennsylvania. The address on file for STACEY LEE CLARK is Middletown NY 10940. This licensed professional license is current. The license was granted 02/26/2013 and expired on 12/31/2016.

Pennsylvania

Department of State

STACEY LEE CLARK
Physical Therapist Assistant
License number
TE009674
Date granted
02/26/2013
Date expires
12/31/2016
Class
Physical Therapist Assistant
Status
Active
Address
Middletown NY 10940
palicensing.org
ID 17323864
LAST UPDATED 2024-03-28 12:03:40 UTC

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