ALLEN R CLARK MD - Medical Doctor License in Illinois | # 125058125

ALLEN R CLARK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058125

License Status

EXPIRED

Business

N

Title

MD

First Name

ALLEN

Middle

R

Last Name

CLARK

Business Name

ALLEN R CLARK MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

State

IL

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

N

LastModifiedDate

03/13/2015