DAVID J CLARK - Medical Doctor License in Illinois | # 125017747

DAVID J CLARK

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017747

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

J

Last Name

CLARK

Business Name

DAVID J CLARK

Original Issue Date

01/17/1985

Effective Date

01/17/1985

Expiration Date

01/17/1987

State

IL

Specialty/Qualifier

Cardiology

Ever Disciplined

N

LastModifiedDate

09/22/2006