ANTHONY AUGUSTUS CLARKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147754

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

AUGUSTUS

Last Name

CLARKE

Business Name

ANTHONY AUGUSTUS CLARKE MD

Original Issue Date

11/20/2018

Effective Date

11/20/2018

Expiration Date

09/30/2020

City

WATERBURY

State

Zip

06708

Ever Disciplined

LastModifiedDate

01/14/2021