KEVIN R CLARK DO - Medical Doctor License in Pennsylvania | # 036079261

KEVIN R CLARK DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079261

License Status

INACTIVE

Business

N

First Name

KEVIN R

Last Name

CLARK

Suffix

DO

Business Name

KEVIN R CLARK DO

Original Issue Date

08/01/1989

Effective Date

08/01/1989

Expiration Date

07/31/1990

State

PA

Ever Disciplined

N

LastModifiedDate

09/20/2006