TED ROBERT CLARK MD - Medical Doctor License in Illinois | # 036122966

TED ROBERT CLARK MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122966

License Status

ACTIVE

Business

N

First Name

TED

Middle

ROBERT

Last Name

CLARK

Suffix

MD

Business Name

TED ROBERT CLARK MD

Original Issue Date

03/31/2009

Effective Date

06/28/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

06/28/2023