MELANIE JEAN CLARK MD - Medical Doctor License in Illinois | # 036137746

MELANIE JEAN CLARK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137746

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MELANIE

Middle

JEAN

Last Name

CLARK

Business Name

MELANIE JEAN CLARK MD

Original Issue Date

04/08/2015

Effective Date

06/21/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021