DAVID J CLARK MD - Medical Doctor License in Illinois | # 125042500

DAVID J CLARK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042500

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

J

Last Name

CLARK

Suffix

MD

Business Name

DAVID J CLARK MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006