SIMON ANDREW CLARK DO - Medical Doctor License in Missouri | # 036149234

SIMON ANDREW CLARK DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149234

License Status

NOT RENEWED

Business

N

Title

DO

First Name

SIMON

Middle

ANDREW

Last Name

CLARK

Business Name

SIMON ANDREW CLARK DO

Original Issue Date

04/26/2019

Effective Date

04/26/2019

Expiration Date

09/30/2020

State

MO

Ever Disciplined

N

LastModifiedDate

01/14/2021