RACHEL E CLARK - Medical Doctor License in Illinois | # 125038896

RACHEL E CLARK

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038896

License Status

EXPIRED

Business

N

First Name

RACHEL

Middle

E

Last Name

CLARK

Business Name

RACHEL E CLARK

Original Issue Date

01/12/1999

Effective Date

01/12/1999

Expiration Date

01/11/2002

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006