ELOISE-MARIE CLARK MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618033

License Status

NOT RENEWED

Business

Business Name

ELOISE-MARIE CLARK MD SC

Original Issue Date

08/22/2003

Effective Date

08/22/2003

Expiration Date

01/01/2006

City

INVERNESS

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006