LEROY STEVEN CLARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040367

License Status

INACTIVE

Business

First Name

LEROY STEVEN

Last Name

CLARK

Suffix

Business Name

LEROY STEVEN CLARK MD

Original Issue Date

05/23/1966

Effective Date

05/23/1966

Expiration Date

07/31/1987

City

TARZANA

State

Zip

91356

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006