JUSTIN S CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139305

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

Last Name

CLARK

Business Name

JUSTIN S CLARK MD

Original Issue Date

10/28/2015

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

OCEANSIDE

State

Zip

92056

Ever Disciplined

LastModifiedDate

07/06/2023