WILLIAM M CLARK JR MD - Medical Doctor License in Illinois | # 125019288

WILLIAM M CLARK JR MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019288

License Status

EXPIRED

Business

N

First Name

WILLIAM M

Last Name

CLARK JR

Suffix

MD

Business Name

WILLIAM M CLARK JR MD

Original Issue Date

06/03/1986

Effective Date

06/03/1986

Expiration Date

06/24/1989

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006