GREGORY J CLARK MD - Medical Doctor License in Illinois | # 036082285

GREGORY J CLARK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082285

License Status

NOT RENEWED

Business

N

First Name

GREGORY J

Last Name

CLARK

Suffix

MD

Business Name

GREGORY J CLARK MD

Original Issue Date

04/05/1991

Effective Date

04/05/1991

Expiration Date

07/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

12/18/2015