ERIN P CLARK MD - Medical Doctor License in Illinois | # 125060391

ERIN P CLARK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060391

License Status

EXPIRED

Business

N

First Name

ERIN

Middle

P

Last Name

CLARK

Suffix

MD

Business Name

ERIN P CLARK MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/04/2015