TODD B CLARK - Medical Doctor License in Illinois | # 036107180

TODD B CLARK

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107180

License Status

ACTIVE

Business

N

First Name

TODD

Middle

B

Last Name

CLARK

Business Name

TODD B CLARK

Original Issue Date

06/11/2002

Effective Date

09/02/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/02/2023