ANNA LIZAMA CLARK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090676

License Status

NOT RENEWED

Business

First Name

ANNA LIZAMA

Last Name

CLARK

Suffix

Business Name

ANNA LIZAMA CLARK

Original Issue Date

05/15/1995

Effective Date

05/15/1995

Expiration Date

07/31/1996

City

ORLANDO

State

Zip

32808

Ever Disciplined

LastModifiedDate

09/20/2006