SAMUEL SMITH CLARK MD - Medical Doctor License in Vermont | # 036041129

SAMUEL SMITH CLARK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041129

License Status

INACTIVE

Business

N

First Name

SAMUEL SMITH

Last Name

CLARK

Suffix

MD

Business Name

SAMUEL SMITH CLARK MD

Original Issue Date

07/07/1967

Effective Date

07/07/1967

Expiration Date

07/31/1996

State

VT

Ever Disciplined

N

LastModifiedDate

09/20/2006