DWAIN CLARK ILLMAN MD - Medical Doctor License in Indiana | # 036047572

DWAIN CLARK ILLMAN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047572

License Status

INACTIVE

Business

N

First Name

DWAIN CLARK

Last Name

ILLMAN

Suffix

MD

Business Name

DWAIN CLARK ILLMAN MD

Original Issue Date

07/20/1973

Effective Date

07/20/1973

Expiration Date

07/31/1990

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006