JOSEPH I CLARK MD - Medical Doctor License in Illinois | # 125023627

JOSEPH I CLARK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023627

License Status

EXPIRED

Business

N

First Name

JOSEPH

Middle

I

Last Name

CLARK

Suffix

MD

Business Name

JOSEPH I CLARK MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/22/1992

State

IL

Ever Disciplined

N

LastModifiedDate

03/03/2009