JOSHUA T CLARK MD - Medical Doctor License in California | # 125038749

JOSHUA T CLARK MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038749

License Status

CANCELLED

Business

N

First Name

JOSHUA

Middle

T

Last Name

CLARK

Suffix

MD

Business Name

JOSHUA T CLARK MD

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

09/30/2003

State

CA

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

10/12/2007