MICHAEL LEE CLARK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132955

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

LEE

Last Name

CLARK

Business Name

MICHAEL LEE CLARK DO

Original Issue Date

05/14/2013

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

JUPITER

State

Zip

33458

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017