CAMELLIA P CLARK MD - Medical Doctor License in Illinois | # 125018548

CAMELLIA P CLARK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018548

License Status

EXPIRED

Business

N

First Name

CAMELLIA P

Last Name

CLARK

Suffix

MD

Business Name

CAMELLIA P CLARK MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006