LANI E CLARK Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086516

License Status

INACTIVE

Business

First Name

LANI E

Last Name

CLARK

Business Name

LANI E CLARK

Original Issue Date

06/18/1993

Effective Date

06/18/1993

Expiration Date

07/31/2002

City

LOS ALAMITOS

State

Zip

90720

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006