RYAN WILLIAM CLARK DO - Medical Doctor License in Illinois | # 125064309

RYAN WILLIAM CLARK DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064309

License Status

EXPIRED

Business

N

Title

DO

First Name

RYAN

Middle

WILLIAM

Last Name

CLARK

Business Name

RYAN WILLIAM CLARK DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

N

LastModifiedDate

09/19/2017