BRIAN JOSEPH CLARK MD - Medical Doctor License in Illinois | # 036132650

BRIAN JOSEPH CLARK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132650

License Status

NOT RENEWED

Business

N

Title

MD

First Name

BRIAN

Middle

JOSEPH

Last Name

CLARK

Business Name

BRIAN JOSEPH CLARK MD

Original Issue Date

04/25/2013

Effective Date

04/25/2013

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014