CLIFTON B CLARKE - Medical Doctor License in Illinois | # 125019997

CLIFTON B CLARKE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019997

License Status

EXPIRED

Business

N

First Name

CLIFTON B

Last Name

CLARKE

Business Name

CLIFTON B CLARKE

Original Issue Date

07/07/1986

Effective Date

07/07/1986

Expiration Date

07/01/1989

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006