CLARENCE RICHARD HART MD - Medical Doctor License in Wisconsin | # 036043259

CLARENCE RICHARD HART MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043259

License Status

NOT RENEWED

Business

N

First Name

CLARENCE RICHARD

Last Name

HART

Suffix

MD

Business Name

CLARENCE RICHARD HART MD

Original Issue Date

04/14/1970

Effective Date

04/14/1970

Expiration Date

07/31/1993

State

WI

Ever Disciplined

N

LastModifiedDate

11/03/2006