JOSHUA T CLARK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038749

License Status

CANCELLED

Business

First Name

JOSHUA

Middle

Last Name

CLARK

Suffix

Business Name

JOSHUA T CLARK MD

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

09/30/2003

City

LONG BEACH

State

Zip

90853

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/12/2007