JAMES G CLARK MD - Medical Doctor License in Illinois | # 125039469

JAMES G CLARK MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039469

License Status

CANCELLED

Business

N

First Name

JAMES

Middle

G

Last Name

CLARK

Suffix

MD

Business Name

JAMES G CLARK MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006