EZRA T CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074144

License Status

NOT RENEWED

Business

First Name

EZRA T

Last Name

CLARK

Suffix

Business Name

EZRA T CLARK MD

Original Issue Date

11/14/1986

Effective Date

11/14/1986

Expiration Date

07/31/1990

City

BERKELEY

State

Zip

94705

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006