CHAD L CLARK - Medical Doctor License in Illinois | # 036100546

CHAD L CLARK

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100546

License Status

NOT RENEWED

Business

N

First Name

CHAD

Middle

L

Last Name

CLARK

Business Name

CHAD L CLARK

Original Issue Date

07/02/1999

Effective Date

07/02/1999

Expiration Date

07/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006