MICHAEL J CLARKE MD - Medical Doctor License in Illinois | # 125075980

MICHAEL J CLARKE MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075980

License Status

CANCELLED

Business

N

Title

MD

First Name

MICHAEL

Middle

J

Last Name

CLARKE

Business Name

MICHAEL J CLARKE MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

04/01/2020