CLARK J ALBERT - Medical Doctor License in Illinois | # 125020338

CLARK J ALBERT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020338

License Status

EXPIRED

Business

N

First Name

CLARK

Middle

J

Last Name

ALBERT

Business Name

CLARK J ALBERT

Original Issue Date

09/19/1986

Effective Date

09/19/1986

Expiration Date

11/16/1989

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006