WILLIAM STANLEY CLARK DO - Medical Doctor License in Illinois | # 125040572

WILLIAM STANLEY CLARK DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040572

License Status

EXPIRED

Business

N

First Name

WILLIAM

Middle

STANLEY

Last Name

CLARK

Suffix

DO

Business Name

WILLIAM STANLEY CLARK DO

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/19/2003

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006