LAWRENCE E CLARK - Medical Doctor License in Illinois | # 130000154

LAWRENCE E CLARK

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000154

License Status

EXPIRED

Business

N

First Name

LAWRENCE

Middle

E

Last Name

CLARK

Business Name

LAWRENCE E CLARK

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

12/31/1991

State

IL

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

N

LastModifiedDate

09/25/2006