MICHAEL J CLARK MD - Medical Doctor License in Illinois | # 125020894

MICHAEL J CLARK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020894

License Status

EXPIRED

Business

N

First Name

MICHAEL J

Last Name

CLARK

Suffix

MD

Business Name

MICHAEL J CLARK MD

Original Issue Date

05/18/1987

Effective Date

05/18/1987

Expiration Date

06/23/1990

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006